Relating to strategies for and improvements in quality of health care and care management provided through health care facilities and through the child health plan and medical assistance programs designed to improve health outcomes.
Impact
The provisions of SB7 may lead to significant changes in state healthcare policies, especially by introducing quality-based measures in the Medicaid reimbursement process. The bill mandates that the Health and Human Services Commission (HHSC) investigate and determine the feasibility of implementing these initiatives, which could reshape how health services are compensated in Texas. By supporting pilot programs focused on obesity prevention and effective care management, the legislation aims to address pressing health issues facing low-income families and children enrolled in relevant health programs.
Summary
Senate Bill 7 (SB7) is an act aimed at improving the quality of health care and care management through various initiatives in health care facilities, particularly in relation to the child health plan and Medicaid programs. The bill introduces pilot programs that promote quality-based payment initiatives, emphasizing outcomes and best practices in health care delivery. It specifically allows physicians and other health care providers to propose pilot programs that incentivize cost-effective interventions to enhance health outcomes for Medicaid recipients and child health plan participants.
Contention
Notably, one of the key components of SB7 involves establishing a reporting system for preventable adverse events, which aims to reduce hospital-acquired infections and other healthcare-associated risks. This facet of the bill may provoke discussions regarding the accountability of healthcare providers, as well as the implications of reporting requirements on healthcare operations. The possibility of changing reimbursement structures could also raise concerns among healthcare providers about their financial viability and operational constraints due to performance-based funding models.
Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.
Relating to a "Texas solution" to reforming and addressing issues related to the Medicaid program, including the creation of an alternative program designed to ensure health benefit plan coverage to certain low-income individuals through the private marketplace; requiring a fee.
Relating to the development of a strategic plan for home and community-based services provided under Medicaid and the child health plan program and the establishment of an advisory committee on home and community-based services.
Relating to the development of a strategic plan for home and community-based services provided under Medicaid and the child health plan program and the establishment of an advisory committee on home and community-based services.
Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.
Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.
Relating to programs to exchange certain health information between the Health and Human Services Commission and certain health care entities and facilities.
Relating to the administration, quality, and efficiency of health care, health and human services, and health benefits programs in this state; creating an offense; providing penalties.
Relating to strategies for and improvements in quality of health care provided through and care management in the child health plan and medical assistance programs designed to achieve healthy outcomes and efficiency.
Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.