Texas 2015 - 84th Regular

Texas Senate Bill SB1471 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	84R12033 EES-D
2	2	By: Watson S.B. No. 1471
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the use of home telemonitoring services under the
8	8	Medicaid program.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Section 531.02164, Government Code, is amended
11	11	by amending Subsection (c) and adding Subsection (f) to read as
12	12	follows:
13	13	(c) The program required under this section must:
14	14	(1) provide that home telemonitoring services are
15	15	available only to a person [persons] who:
16	16	(A) is [are] diagnosed with a condition for which
17	17	the commission makes an evidence-based determination that
18	18	monitoring through the use of home telemonitoring services is
19	19	cost-effective and feasible [one or more of the following
20	20	conditions:
21	21	[(i) pregnancy;
22	22	[(ii) diabetes;
23	23	[(iii) heart disease;
24	24	[(iv) cancer;
25	25	[(v) chronic obstructive pulmonary
26	26	disease;
27	27	[(vi) hypertension;
28	28	[(vii) congestive heart failure;
29	29	[(viii) mental illness or serious emotional
30	30	disturbance;
31	31	[(ix) asthma;
32	32	[(x) myocardial infarction; or
33	33	[(xi) stroke]; and
34	34	(B) exhibits [exhibit] two or more of the
35	35	following risk factors:
36	36	(i) two or more hospitalizations in the
37	37	prior 12-month period;
38	38	(ii) frequent or recurrent emergency room
39	39	admissions;
40	40	(iii) a documented history of poor
41	41	adherence to ordered medication regimens;
42	42	(iv) a documented history of falls in the
43	43	prior six-month period;
44	44	(v) limited or absent informal support
45	45	systems;
46	46	(vi) living alone or being home alone for
47	47	extended periods of time; and
48	48	(vii) a documented history of care access
49	49	challenges;
50	50	(2) ensure that clinical information gathered by a
51	51	home health agency or hospital while providing home telemonitoring
52	52	services is shared with the patient's physician; and
53	53	(3) ensure that the program does not duplicate disease
54	54	management program services provided under Section 32.057, Human
55	55	Resources Code.
56	56	(f) The commission may conduct pilot projects to collect
57	57	evidence regarding the effectiveness of using home telemonitoring
58	58	services to monitor certain conditions.
59	59	SECTION 2. Section 531.02176, Government Code, is amended
60	60	to read as follows:
61	61	Sec. 531.02176. EXPIRATION OF MEDICAID REIMBURSEMENT FOR
62	62	PROVISION OF HOME TELEMONITORING SERVICES. Notwithstanding any
63	63	other law, the commission may not reimburse providers under the
64	64	Medicaid program for the provision of home telemonitoring services
65	65	on or after September 1, 2021 [2015].
66	66	SECTION 3. As soon as practicable after the effective date
67	67	of this Act, the executive commissioner of the Health and Human
68	68	Services Commission shall adopt necessary rules to implement the
69	69	changes in law made by this Act.
70	70	SECTION 4. If before implementing any provision of this Act
71	71	a state agency determines that a waiver or authorization from a
72	72	federal agency is necessary for implementation of that provision,
73	73	the agency affected by the provision shall request the waiver or
74	74	authorization and may delay implementing that provision until the
75	75	waiver or authorization is granted.
76	76	SECTION 5. This Act takes effect September 1, 2015.