81R9648 KLA-D By: Zaffirini S.B. No. 1248 A BILL TO BE ENTITLED AN ACT relating to the reimbursement rate for certain ambulance services provided under the medical assistance program. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 32.028, Human Resources Code, is amended by adding Subsection (r) to read as follows: (r) The executive commissioner of the Health and Human Services Commission by rule shall establish reimbursement rates for ground ambulance services provided under the medical assistance program that are not less than the reimbursement rates established by the federal Centers for Medicare and Medicaid Services for similar services covered by the federal Medicare program that were in effect on January 1, 2009. In establishing the rates, the executive commissioner shall stratify the rates in accordance with levels of ambulance services provided in a manner similar to the stratification under the Medicare program. SECTION 2. If before implementing any provision of this Act a state agency determines that a waiver or authorization from a federal agency is necessary for implementation of that provision, the agency affected by the provision shall request the waiver or authorization and may delay implementing that provision until the waiver or authorization is granted. SECTION 3. This Act takes effect September 1, 2009.