1 | 1 | | 81R7207 ALB-D |
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2 | 2 | | By: Pitts H.B. No. 1487 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to the alignment of certain Medicaid procedures regarding |
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8 | 8 | | written orders for diabetic equipment and supplies with comparable |
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9 | 9 | | Medicare written order procedures. |
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10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 11 | | SECTION 1. Subchapter B, Chapter 531, Government Code, is |
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12 | 12 | | amended by adding Section 531.099 to read as follows: |
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13 | 13 | | Sec. 531.099. ALIGNMENT OF MEDICAID DIABETIC EQUIPMENT AND |
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14 | 14 | | SUPPLIES WRITTEN ORDER PROCEDURES WITH MEDICARE DIABETIC EQUIPMENT |
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15 | 15 | | AND SUPPLIES WRITTEN ORDER PROCEDURES. (a) The commission shall |
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16 | 16 | | review forms and requirements under the Medicaid program regarding |
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17 | 17 | | written orders for diabetic equipment and supplies to identify |
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18 | 18 | | variations between permissible ordering procedures under that |
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19 | 19 | | program and ordering procedures available to providers under the |
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20 | 20 | | Medicare program. |
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21 | 21 | | (b) To the extent practicable, and notwithstanding any |
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22 | 22 | | other state law, after conducting a review under Subsection (a) the |
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23 | 23 | | commission shall modify rules and procedures applicable to written |
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24 | 24 | | orders for diabetic equipment and supplies under the Medicaid |
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25 | 25 | | program to provide for an ordering system that is comparable to the |
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26 | 26 | | ordering system for diabetic equipment and supplies under the |
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27 | 27 | | Medicare program. The ordering system must permit the following |
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28 | 28 | | persons to complete forms by hand or to enter by electronic format |
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29 | 29 | | medical information or supply orders into any form as necessary to |
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30 | 30 | | provide the information required to dispense diabetic equipment or |
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31 | 31 | | supplies: |
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32 | 32 | | (1) a physician; |
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33 | 33 | | (2) a physician assistant; |
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34 | 34 | | (3) a nurse practitioner; |
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35 | 35 | | (4) a clinical nurse specialist; |
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36 | 36 | | (5) a provider of diabetic equipment or supplies; or |
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37 | 37 | | (6) any staff member or employee designated by a |
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38 | 38 | | person listed in Subdivisions (1)-(5). |
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39 | 39 | | (c) A provider of diabetic equipment and supplies may bill |
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40 | 40 | | and collect payment for the provider's services if the provider has |
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41 | 41 | | a copy of the form that meets the requirements of Subsection (b) and |
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42 | 42 | | that is signed by a medical practitioner licensed in this state to |
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43 | 43 | | treat diabetic patients. Additional documentation may not be |
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44 | 44 | | required. |
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45 | 45 | | SECTION 2. If before implementing any provision of this Act |
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46 | 46 | | a state agency determines that a waiver or authorization from a |
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47 | 47 | | federal agency is necessary for implementation of that provision, |
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48 | 48 | | the agency affected by the provision shall request the waiver or |
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49 | 49 | | authorization and may delay implementing that provision until the |
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50 | 50 | | waiver or authorization is granted. |
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51 | 51 | | SECTION 3. This Act takes effect September 1, 2009. |
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