Texas 2011 - 82nd Regular

Texas Senate Bill SB1220 Compare Versions

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1	1	By: Hinojosa, Lucio S.B. No. 1220
2	2	Rodriguez
3	3	(Gonzales of Hidalgo)
4	4
5	5
6	6	A BILL TO BE ENTITLED
7	7	AN ACT
8	8	relating to the advisory committee on Medicaid and child health
9	9	plan program rate and expenditure disparities between the
10	10	Texas-Mexico border region and other areas of the state.
11	11	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
12	12	SECTION 1. Subdivision (2), Subsection (a), Section
13	13	531.0223, Government Code, is amended to read as follows:
14	14	(2) "Committee" means the advisory committee on
15	15	Medicaid and child health plan program rate and expenditure
16	16	[funding] disparities between the Texas-Mexico border region and
17	17	other areas of the state [in health programs] appointed by the
18	18	executive commissioner under this section.
19	19	SECTION 2. Subsections (b) through (e), (o), and (p),
20	20	Section 531.0223, Government Code, are amended to read as follows:
21	21	(b) The executive commissioner shall appoint an advisory
22	22	committee to develop a strategic plan for eliminating the
23	23	disparities between the Texas-Mexico border region and other areas
24	24	of the state in:
25	25	(1) capitation rates under Medicaid managed care and
26	26	the child health plan program for services provided to persons
27	27	younger than 19 years of age;
28	28	(2) fee-for-service per capita expenditures under the
29	29	Medicaid program and the child health plan program for inpatient
30	30	and outpatient hospital services for services provided to persons
31	31	younger than 19 years of age; and
32	32	(3) total professional services expenditures per
33	33	Medicaid recipient younger than 19 years of age or per child
34	34	enrolled in the child health plan program.
35	35	(c) Periodically the committee shall perform the research
36	36	necessary to analyze and compare the rates and expenditures
37	37	described by Subsection (b) and, not later than the date specified
38	38	by the executive commissioner, produce a report based on the
39	39	results of that analysis and comparison.
40	40	(d) The committee shall, as part of the report required by
41	41	Subsection (c), make recommendations to the executive commissioner
42	42	for addressing the problems created by disparities documented in
43	43	the report, including recommendations for allocation of funds.
44	44	(e) The executive commissioner shall appoint nine members
45	45	to the advisory committee in a manner that ensures that the
46	46	committee:
47	47	(1) represents the spectrum of geographic areas
48	48	included in the Texas-Mexico border region;
49	49	(2) includes persons who are knowledgeable regarding
50	50	the Medicaid program, including Medicaid managed care, and the
51	51	child health plan program; and
52	52	(3) represents the interests of physicians,
53	53	hospitals, patients, managed care organizations, state agencies
54	54	involved in the management and delivery of medical resources of any
55	55	kind, affected communities, and other areas of the state.
56	56	(o) The commission shall [contract with a public university
57	57	to]:
58	58	(1) measure changes occurring from September 1, 2002
59	59	[2001], to August 31, 2014 [2004], in the number of health care
60	60	providers participating in the Medicaid program or the child health
61	61	plan program in the Texas-Mexico border region and resulting
62	62	effects on consumer access to health care and consumer utilization;
63	63	(2) determine:
64	64	(A) the effects, if any, of the changes in rates
65	65	and expenditures required by Subsection (k); and
66	66	(B) if funding available and used for changes in
67	67	rates and expenditures was sufficient to produce measurable
68	68	effects;
69	69	(3) make a recommendation regarding whether Medicaid
70	70	rate increases should be expanded to include Medicaid services
71	71	provided to adults in the Texas-Mexico border region; and
72	72	(4) not later than December 1, 2014 [2004], submit a
73	73	report to the legislature.
74	74	(p) This section expires September 1, 2015 [2011].
75	75	SECTION 3. The advisory committee on Medicaid and child
76	76	health plan program rate and expenditure disparities between the
77	77	Texas-Mexico border region and other areas of the state is
78	78	re-created in accordance with Section 531.0223, Government Code, as
79	79	amended by this Act. Not later than December 1, 2011, the executive
80	80	commissioner of the Health and Human Services Commission shall
81	81	appoint the members of the advisory committee as required by that
82	82	section.
83	83	SECTION 4. This Act takes effect immediately if it receives
84	84	a vote of two-thirds of all the members elected to each house, as
85	85	provided by Section 39, Article III, Texas Constitution. If this
86	86	Act does not receive the vote necessary for immediate effect, this
87	87	Act takes effect on the 91st day after the last day of the
88	88	legislative session.