Texas 2009 - 81st Regular

Texas House Bill HB497 Compare Versions

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Old	New	Differences
1	1	H.B. No. 497
2	2
3	3
4	4	AN ACT
5	5	relating to a study to determine the effect on the health care
6	6	infrastructure in this state if the state Medicaid program is
7	7	abolished or a severe reduction in federal matching money under the
8	8	program occurs.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. (a) The Health and Human Services Commission and
11	11	Texas Department of Insurance shall conduct a joint study to
12	12	determine the effect on the health care infrastructure in this
13	13	state, including health care delivery mechanisms, if the state
14	14	Medicaid program is abolished or the amount of federal matching
15	15	money available to the state under the program is severely reduced.
16	16	The study must address the effect on the availability of and
17	17	accessibility to health care services provided under the state
18	18	Medicaid program as of the effective date of this Act. In
19	19	conducting the study, the commission and department may seek input
20	20	from health advocacy groups.
21	21	(b) As part of the study, the Health and Human Services
22	22	Commission and Texas Department of Insurance shall:
23	23	(1) identify all available health care resources
24	24	throughout the state, both public and private, that are not funded
25	25	wholly or partly by the state Medicaid program;
26	26	(2) identify which population groups receiving
27	27	services under the state Medicaid program as of the effective date
28	28	of this Act would be most at risk of losing those services if the
29	29	program were abolished or the amount of federal matching money
30	30	available to the state under the program were severely reduced; and
31	31	(3) determine the effect abolishment of the state
32	32	Medicaid program would have on local health care service providers
33	33	and local financing mechanisms that provide or support care to
34	34	individuals who cannot afford necessary health care services.
35	35	(c) Not later than July 1, 2010, the Health and Human
36	36	Services Commission and Texas Department of Insurance shall submit
37	37	a joint report of the commission's and department's findings and
38	38	conclusions resulting from the study to the lieutenant governor,
39	39	the speaker of the house of representatives, and the presiding
40	40	officers of the standing committees of the senate and house of
41	41	representatives having primary jurisdiction over health and human
42	42	services. The report must include:
43	43	(1) a statewide plan for making a transition of the
44	44	provision and delivery of health care services from the state
45	45	Medicaid program to a new health care delivery system if the program
46	46	were abolished or the amount of federal matching money available to
47	47	the state under the program were severely reduced; and
48	48	(2) an analysis of the fiscal impact to this state of
49	49	continuing to provide health care services to population groups
50	50	served by the state Medicaid program if the program were abolished
51	51	or the amount of federal matching money available to the state under
52	52	the program were severely reduced, including a fiscal analysis for
53	53	each phase of the transition plan described by Subdivision (1) of
54	54	this subsection.
55	55	(d) The executive commissioner of the Health and Human
56	56	Services Commission and the commissioner of insurance may adopt the
57	57	transition plan required by Subsection (c)(1) of this section as a
58	58	contingency plan for transitioning recipients of health care
59	59	services from the state Medicaid program to a new health care
60	60	delivery system.
61	61	SECTION 2. This Act takes effect immediately if it receives
62	62	a vote of two-thirds of all the members elected to each house, as
63	63	provided by Section 39, Article III, Texas Constitution. If this
64	64	Act does not receive the vote necessary for immediate effect, this
65	65	Act takes effect September 1, 2009.
66	66	______________________________ ______________________________
67	67	President of the Senate Speaker of the House
68	68	I certify that H.B. No. 497 was passed by the House on April
69	69	30, 2009, by the following vote: Yeas 130, Nays 0, 1 present, not
70	70	voting.
71	71	______________________________
72	72	Chief Clerk of the House
73	73	I certify that H.B. No. 497 was passed by the Senate on May
74	74	21, 2009, by the following vote: Yeas 31, Nays 0.
75	75	______________________________
76	76	Secretary of the Senate
77	77	APPROVED: _____________________
78	78	Date
79	79	_____________________
80	80	Governor