Texas Senate Bill SB191

Texas 2021 - 87th Regular

Caption

Relating to the use of social determinants of health in the Medicaid managed care program.

Impact

The proposed legislation amends existing sections of the Government Code related to Medicaid contracts, emphasizing the need for managed care organizations to utilize enriched data sets that include social determinants of health. This change is expected to provide a systematic approach to addressing the specific health needs of diverse populations by guiding the development of personalized care plans, which could ultimately lead to cost savings and reduced reliance on emergency services.

Summary

SB191 aims to incorporate social determinants of health into the Medicaid managed care program in Texas. The bill defines social determinants of health as the environmental conditions influencing a person's health across various life stages. By recognizing these factors, the bill seeks to improve the effectiveness and efficiency of Medicaid services, focusing on delivering better health outcomes for vulnerable populations through targeted interventions.

Contention

Discussions around SB191 may involve varying perspectives regarding the implementation of social determinants in Medicaid. Proponents argue that this approach will allow for a more holistic understanding of patient needs, potentially leading to improved health outcomes and reduced costs associated with emergency care and hospitalizations. Conversely, some may express concerns about how these changes will be monitored and managed, as well as the necessity of federal approvals to implement certain provisions of the bill.