82R2038 EES-D
By: Patrick S.B. No. 827
A BILL TO BE ENTITLED
AN ACT
relating to the child health plan and medical assistance programs.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
is amended by adding Section 32.0313 to read as follows:
Sec. 32.0313. DENIAL OF REIMBURSEMENT FOR CERTAIN
PROCEDURES. The department may not reimburse a provider under the
medical assistance program for a nonmedically indicated cesarean
section or labor induction performed at a hospital on a woman
earlier than the 39th week of gestation.
SECTION 2. Subchapter D, Chapter 161, Human Resources Code,
is amended by adding Section 161.086 to read as follows:
Sec. 161.086. ELECTRONIC VISIT VERIFICATION SYSTEM. If it
is cost-effective, the department shall implement an Electronic
Visit Verification system under appropriate Medicaid programs
administered by the department that allows providers to
electronically verify and document basic information relating to
the delivery of services, including:
(1) the provider's name;
(2) the recipient's name;
(3) the date and time the provider begins and ends the
delivery of services; and
(4) the location of service delivery.
SECTION 3. (a) The Health and Human Services Commission
shall conduct a study to assess whether it would be feasible and
cost-effective to implement an asthma self-management training
program under which children who have asthma and receive benefits
under the child health plan program under Chapter 62, Health and
Safety Code, or the medical assistance program under Chapter 32,
Human Resources Code, may receive home-based asthma education and
training from persons qualified to provide the education and
training, including respiratory therapists and individuals
certified to provide the training by the National Asthma Educator
Certification Board. The study must:
(1) analyze whether implementing the training program
would reduce asthma-related emergency room visits and hospital
inpatient stays;
(2) explore the possibility of providing:
(A) home-based education and training as a
benefit under the child health plan and medical assistance
programs; and
(B) financial incentives through shared savings
to providers of home-based education and training; and
(3) assess the likelihood that children and their
families will use home-based education and training.
(b) Not later than December 1, 2012, the Health and Human
Services Commission shall submit a written report containing the
findings of the study conducted under this section together with
the commission's recommendations to the standing committees of the
senate and house of representatives having primary jurisdiction
over the child health plan and Medicaid programs.
SECTION 4. Section 533.0025(e), Government Code, is
repealed.
SECTION 5. 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 6. This Act takes effect September 1, 2011.