83R2527 KFF-D
By: Campbell S.B. No. 682
A BILL TO BE ENTITLED
AN ACT
relating to reimbursement for services provided by advanced
practice nurses and physician assistants under the Medicaid
program.
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 32.0426 to read as follows:
Sec. 32.0426. REIMBURSEMENT FOR SERVICES PROVIDED BY
ADVANCED PRACTICE NURSES AND PHYSICIAN ASSISTANTS. (a) In this
section:
(1) "Advanced practice nurse" has the meaning assigned
by Section 301.152, Occupations Code.
(2) "National provider identifier" means the national
provider identifier required under Section 1128J(e), Social
Security Act (42 U.S.C. Section 1320a-7k(e)).
(3) "Physician assistant" means a person who holds a
license issued under Chapter 204, Occupations Code.
(b) If an advanced practice nurse or a physician assistant
provides a service to a recipient under the medical assistance
program at the direction or under the supervision of another
provider and the advanced practice nurse or physician assistant, as
applicable, is the primary provider of the service:
(1) the name and associated national provider
identifier of the advanced practice nurse or physician assistant,
as applicable, must be included as the rendering provider on any
claim for reimbursement submitted by a provider; and
(2) the department may reimburse the claim only at the
provider level established by rule for an advanced practice nurse
or physician assistant, as applicable.
(c) The executive commissioner of the Health and Human
Services Commission may adopt rules necessary to implement this
section.
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, 2013.