Relating to reimbursement for medical assistance provided by a school-based health center to certain recipients.
Impact
The implementation of HB 279 is expected to enhance the accessibility of healthcare services offered in school settings, particularly for students who rely on these centers for their medical needs. Previously, the requirement for a referral could limit the usage of these services, potentially leading to gaps in care. By allowing direct reimbursement, the bill supports operational viability for school-based health centers, ensuring they can continue serving students effectively.
Summary
House Bill 279 addresses the reimbursement policies for medical assistance offered by school-based health centers in Texas. By amending Section 32.028 of the Human Resources Code, the bill mandates that school-based health centers receive reimbursement under the medical assistance program for services provided to recipients, without requiring them to have a primary care physician or obtain a referral. This change aims to streamline access to medical services for students who may otherwise face barriers due to referral requirements.
Contention
While the bill provides a clear advantage for school-based health centers and the students they serve, there may be concerns regarding the financial implications for managed care organizations. The requirement for compliance with new reimbursement rules may introduce operational challenges for these organizations, necessitating adjustments to their existing contracts. Additionally, the bill does not expand the scope of services covered under the medical assistance program, which could raise questions from stakeholders about what services are included and how they will be delivered.
Relating to the reimbursement rate for the provision of vagus nerve stimulation therapy system devices by certain health care providers under Medicaid.