Texas 2021 - 87th Regular

Texas House Bill HB4

Caption

Relating to the provision and delivery of certain health care services in this state, including services under Medicaid and other public benefits programs, using telecommunications or information technology and to reimbursement for some of those services.

Impact

The implications of HB4 are significant for state laws surrounding healthcare delivery. The bill modifies several existing provisions in the Government Code, permitting Medicaid managed care organizations to reimburse healthcare providers for telemedicine and telehealth services. Additionally, it outlines a process for allowing consent for treatment and the provision of services through audio-only platforms, potentially expanding access to health services for individuals in remote or underserved areas.

Summary

House Bill 4 (HB4) addresses the delivery and provision of healthcare services in Texas through telecommunication and information technology. It primarily impacts Medicaid and other public benefits programs by allowing recipients to access a variety of health services remotely, including preventive, behavioral health, case management, and therapy services. The bill aims to modernize the healthcare system, making it more accessible and efficient, particularly for individuals who rely on public assistance programs.

Sentiment

The sentiment surrounding HB4 is largely positive among healthcare providers and advocates, who see it as a necessary step towards improving access to care through technological means. There is recognition that telehealth can bridge gaps in service, especially in rural settings. However, concerns about the potential over-reliance on technology in healthcare, and whether such services can provide adequate care, remain points of discussion among stakeholders.

Contention

Notable points of contention include the balance between ensuring quality care and the convenience of remote services. Some critics express concern that without proper regulations, telehealth services may not provide the same level of care as in-person visits, potentially risking patient outcomes. Another contentious issue is the financial implications of implementing telehealth services, particularly regarding the reimbursement processes for Medicaid providers. These discussions reflect broader debates around the role of technology in healthcare and the ongoing need for safe and effective service delivery.

Companion Bills

TX HB974

Same As Relating to telemedicine, telehealth, and technology-related health care services.

TX SB412

Same As Relating to telemedicine, telehealth, and technology-related health care services.

Previously Filed As

TX HB4334

Relating to the provision and delivery of certain health, mental health, and educational services in this state, including the delivery of those services using telecommunications or information technology.

TX SB2190

Relating to the provision of applied behavior analysis and associated services through telecommunications or information technology under certain public benefits programs.

TX HB4611

Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.

TX HB1879

Relating to the provision of counseling services by certain providers under Medicaid and reimbursement for those services.

TX HB1396

Relating to the provision of counseling services by certain providers under Medicaid and reimbursement for those services.

TX SB2132

Relating to the provision of counseling services by certain providers under Medicaid and reimbursement for those services.

TX HB3725

Relating to Medicaid coverage and reimbursement for doula services and reports on the provision of those services.

TX HB3394

Relating to Medicaid coverage and reimbursement for doula services and reports on the provision of those services.

TX HB4823

Relating to the provision and delivery of benefits to certain recipients under Medicaid.

TX SB2145

Relating to the provision and delivery of benefits to certain recipients under Medicaid.

Similar Bills

TX SB293

Relating to telemedicine medical services, telehealth services, and home telemonitoring services provided to certain Medicaid recipients.

TX HB3234

Relating to telehealth services and home telemonitoring services provided to certain Medicaid recipients.

TX SB1769

Relating to telehealth services and home telemonitoring services provided to certain Medicaid recipients.

TX HB70

Relating to telemedicine medical services, telehealth services, and home telemonitoring services provided to certain Medicaid recipients.

TX HB842

Relating to telemedicine medical services, telehealth services, and home telemonitoring services provided to certain Medicaid recipients.

TX HB3171

Relating to improved efficiency in the delivery of Medicaid services to certain recipients, including recipients with chronic diseases, through the use of telemedicine, telehealth, and home telemonitoring services and certain disease management initiatives.

TX HB2612

Relating to the provision of Medicaid and child health plan program services using telecommunications or information technology and to reimbursement for those services.

TX HB974

Relating to telemedicine, telehealth, and technology-related health care services.