Texas Senate Bill SB10

Texas 2009 - 81st Regular

• Out of Senate Committee: 4/30/09
• Voted on by Senate: 5/4/09
• Out of House Committee: 5/23/09

Caption

Relating to adoption of alternative payment method pilot programs for the provision of health care services to certain state employees.

Impact

The bill's implementation is expected to significantly alter the healthcare landscape for state employees and retirees by providing a framework for alternative compensation models. The board of trustees, responsible for developing and implementing the pilot program, will establish quality standards for care and may offer incentives for healthcare providers who meet or exceed performance metrics. Through the pilot program, the state aims to enhance clinical integration among healthcare providers, facilitating a network that cooperates to control costs while ensuring quality care. This shift could improve access and efficiency in the healthcare services provided to participating enrollees.

Summary

Senate Bill 10 (SB10) proposes the establishment of alternative payment method pilot programs aimed at providing healthcare services to certain state employees and active as well as retired public school employees. The bill introduces several definitions related to various alternative payment systems, including global payment systems, episode-based bundled payment systems, and pay-for-performance systems. By adopting these payment systems, the bill aims to test alternatives to the traditional fee-for-service model, potentially leading to more efficient and higher-quality care for participants in the program.

Contention

While proponents argue that the innovative payment methods could enhance service delivery and reduce overall healthcare costs, there could be concerns from stakeholders who depend on established fee-for-service models. There may also be contention regarding the adequacy of the proposed payment structures and whether they effectively incentivize providers to maintain or increase quality of care while managing costs. As the bill rolls out, it will be crucial to monitor its effects on healthcare access, provider participation, and the satisfaction of the employees benefiting from these pilot programs.