Texas Senate Bill SB1885

Texas 2015 - 84th Regular

Caption

Relating to the reimbursement of providers for the provision of certain home telemonitoring services under the Medicaid program.

Impact

The bill proposes amendments to the existing sections of the Government Code related to Medicaid reimbursements, particularly ensuring that home telemonitoring services are available to a specific group of pediatric patients. It calls for the Health and Human Services Commission to adopt rules for the implementation of these provisions by December 1, 2015. If federal waivers or amendments are necessary for implementation, the state agency may delay enforcement until such approvals are obtained. This reflects a responsiveness to the healthcare needs of children with intricate medical conditions and enhances the overall scope of telehealth under Medicaid.

Summary

SB1885 focuses on the reimbursement of providers for home telemonitoring services offered under the Medicaid program. A key component of the bill is the inclusion of coverage for pediatric patients who have chronic or complex medical needs. Eligible patients include those who are receiving treatment from multiple medical specialists, are dependent on technology for their medical care, are diagnosed with end-stage organ disease, or require mechanical ventilation. This aims to ensure that vulnerable children have access to necessary telehealth services that can help manage their health conditions effectively.

Contention

Notable points of contention may arise around the implications of such a reimbursement structure on the healthcare system. Critics of expanding telemonitoring services under Medicaid could argue that it places undue financial burdens on the state, particularly if demand rises significantly. Additionally, there might be concerns regarding the conditions under which telemonitoring is deemed necessary and whether there will be adequate controls to avoid potential misuse of the services. Proponents, however, argue that extending telemonitoring to these groups is crucial to improving health outcomes and providing equitable access to medical care for children with complex needs.