84R12307 JSL-D
By: Taylor of Collin S.B. No. 1689
A BILL TO BE ENTITLED
AN ACT
relating to the reimbursement of providers under the Medicaid
program for the provision of telemedicine medical services in a
school-based setting.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 531.0217, Government Code, is amended by
adding Subsection (c-4) and amending Subsection (g) to read as
follows:
(c-4) The commission shall ensure that Medicaid
reimbursement is provided to a physician for a telemedicine medical
service provided by the physician, even if the physician is not the
patient's primary care physician or provider, if:
(1) the physician is an authorized health care
provider under the Medicaid program;
(2) the patient is a child who receives the service in
a primary or secondary school-based setting; and
(3) a health professional is present with the patient
during the treatment.
(g) If a patient receiving a telemedicine medical service
has a primary care physician or provider and consents or, if
appropriate, the patient's parent or legal guardian consents to the
notification, the commission may [shall] require that the primary
care physician or provider be notified of the telemedicine medical
service for the purpose of sharing medical information. In the case
of a service provided to a child in a school-based setting as
described by Subsection (c-4), the notification, if any, must
include a summary of the service, including exam findings,
prescribed or administered medications, and patient instructions.
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, 2015.