Texas 2013 - 83rd Regular

Texas House Bill HB3687 Compare Versions

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Old	New	Differences
1	1	83R21547 AED-F
2	2	By: Naishtat H.B. No. 3687
3	3	Substitute the following for H.B. No. 3687:
4	4	By: Cortez C.S.H.B. No. 3687
5	5
6	6
7	7	A BILL TO BE ENTITLED
8	8	AN ACT
9	9	relating to the provision of and funding for certain primary health
10	10	care services; repealing a fee.
11	11	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
12	12	SECTION 1. Sections 31.002(a)(1), (3), and (4), Health and
13	13	Safety Code, are amended to read as follows:
14	14	(1) "Facility" includes an entity providing primary [a
15	15	hospital, ambulatory surgical center, public health clinic,
16	16	birthing center, outpatient clinic, and community] health care
17	17	services [center].
18	18	(3) "Other benefit" means a benefit, other than a
19	19	benefit provided under this chapter, to which an individual is
20	20	entitled for payment of the costs of primary health care services,
21	21	including benefits available from:
22	22	(A) an insurance policy, group health plan, or
23	23	prepaid medical care plan;
24	24	(B) Title XVIII, [or] XIX, or XXI of the Social
25	25	Security Act (42 U.S.C. Section 1395 et seq., [or] Section 1396 et
26	26	seq., or Section 1397aa et seq.); or
27	27	(C) [the Veterans Administration;
28	28	[(D) the Civilian Health and Medical Program of
29	29	the Uniformed Services;
30	30	[(E) workers' compensation or any other
31	31	compulsory employers' insurance program;
32	32	[(F)] a public program created by federal or
33	33	state law, or by an ordinance or rule of a municipality or political
34	34	subdivision of the state, excluding benefits created by the
35	35	establishment of a municipal or county hospital, a joint
36	36	municipal-county hospital, a county hospital authority, a hospital
37	37	district, or the facilities of a publicly supported medical
38	38	school[; or
39	39	[(G) a cause of action for medical, facility, or
40	40	medical transportation expenses, or a settlement or judgment based
41	41	on the cause of action, if the expenses are related to the need for
42	42	services provided under this chapter].
43	43	(4) "Primary health care services" may include
44	44	[includes]:
45	45	(A) a health service related to family, internal,
46	46	pediatric, obstetric, or gynecological medicine that is provided by
47	47	a physician, physician assistant, or advanced practice registered
48	48	nurse [diagnosis and treatment];
49	49	(B) diagnostic laboratory and radiological
50	50	services;
51	51	(C) emergency medical services;
52	52	(D) [(C)] family planning services;
53	53	(E) [(D)] preventive health services, including:
54	54	(i) prenatal and perinatal services;
55	55	(ii) appropriate cancer screening;
56	56	(iii) well-child services;
57	57	(iv) immunizations against diseases that are
58	58	preventable by vaccines;
59	59	(v) screenings for elevated blood levels,
60	60	communicable diseases, and cholesterol levels;
61	61	(vi) pediatric eye, ear, and dental
62	62	screenings to determine the need for vision and hearing correction
63	63	and dental care; and
64	64	(vii) preventive dental services;
65	65	(F) [(E)] health education;
66	66	(G) [(F) laboratory, X-ray, nuclear medicine, or
67	67	other appropriate diagnostic services;
68	68	[(G) nutrition services;
69	69	[(H) health screening;
70	70	[(I) home health care;
71	71	[(J) dental care;
72	72	[(K) transportation;
73	73	[(L)] prescription drugs and devices and durable
74	74	supplies, as appropriate;
75	75	[(M) environmental health services;
76	76	[(N) podiatry services;] and
77	77	(H) integrated mental health [(O) social]
78	78	services.
79	79	SECTION 2. Sections 31.003(c), (d), (e), (f), and (g),
80	80	Health and Safety Code, are amended to read as follows:
81	81	(c) The department [If budgetary limitations exist, the
82	82	board by rule] shall establish a system of priorities that includes
83	83	factors relating to the types of services provided, to the extent
84	84	possible the statewide coverage of the services, and the
85	85	[geographic areas covered, or classes of] individuals eligible for
86	86	services.
87	87	(d) The department [board] shall adopt rules under
88	88	Subsection (c) relating to the services provided, to the extent
89	89	possible the statewide coverage of the services, [geographic areas
90	90	covered] and the [classes of] individuals eligible for services
91	91	[according to a statewide determination of the need for services].
92	92	(e) The department [board] shall adopt rules under
93	93	Subsection (c) relating to the types of services provided according
94	94	to the set of service priorities established under this subsection.
95	95	Initial service priorities shall focus on the funding of, provision
96	96	of, and access to:
97	97	(1) health services related to family, internal,
98	98	pediatric, obstetric, or gynecological medicine that is provided by
99	99	a physician, physician assistant, or advanced practice registered
100	100	nurse [diagnosis and treatment];
101	101	(2) emergency medical services;
102	102	(3) family planning services;
103	103	(4) preventive health services, including
104	104	immunizations;
105	105	(5) health education; and
106	106	(6) laboratory, X-ray, [nuclear medicine,] or other
107	107	appropriate diagnostic services.
108	108	(f) Except as limited by this section, the department shall
109	109	develop an integrated framework for the equitable provision of
110	110	services throughout the state and shall use existing public and
111	111	private health[, transportation, and education] resources.
112	112	(g) The department shall ensure that an approved service
113	113	provider makes every reasonable effort to collect appropriate
114	114	reimbursement for its costs in providing primary health care
115	115	services to persons who are entitled to receive other benefits
116	116	[board should require that the services provided under this chapter
117	117	be reserved to the greatest extent possible for low-income
118	118	individuals who are not eligible for similar services through any
119	119	other publicly funded program].
120	120	SECTION 3. Section 31.012(a), Health and Safety Code, is
121	121	amended to read as follows:
122	122	(a) The department [board] may authorize [charge fees for
123	123	the services provided directly by the department or through]
124	124	approved providers to charge a reasonable copayment for services
125	125	provided in accordance with Subchapter D, Chapter 12.
126	126	SECTION 4. This Act takes effect September 1, 2013.