Texas 2015 - 84th Regular

Texas Senate Bill SB1904 Compare Versions

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

Old	New	Differences
1	1	84R11792 PMO-F
2	2	By: Perry S.B. No. 1904
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to the creation of a select interim committee to undertake
8	8	a comprehensive review of the provision of public health care
9	9	services in this state.
10	10	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
11	11	SECTION 1. CREATION OF SELECT INTERIM COMMITTEE. (a) A
12	12	select interim committee is created to study and review statutes
13	13	and regulations, including model laws and regulations, related to
14	14	the provision of health care services in this state.
15	15	(b) The committee shall convene at the call of the presiding
16	16	officer.
17	17	(c) The committee has all other powers and duties provided
18	18	to a special or select committee by the rules of the senate,
19	19	Subchapter B, Chapter 301, Government Code, and policies of the
20	20	senate committee on administration.
21	21	SECTION 2. INTERIM STUDY REGARDING THE PROVISION OF HEALTH
22	22	CARE SERVICES. (a) The committee created by Section 1 of this Act
23	23	shall study the concept of providing health insurance coverage for
24	24	acute care and home health care services for Medicaid recipients in
25	25	the private insurance market through a capitated or block grant
26	26	funding system and, with respect to a program based on that concept
27	27	or other similar program:
28	28	(1) the requirements to obtain any waiver necessary to
29	29	implement and administer the program;
30	30	(2) the cost of implementing and administering the
31	31	program;
32	32	(3) the feasibility of implementing and administering
33	33	a cost-sharing and sliding scale subsidy program for the Medicaid
34	34	recipients served by the program;
35	35	(4) the implementation and administration of health
36	36	savings accounts for the Medicaid recipients served by the program;
37	37	(5) minimum coverage requirements;
38	38	(6) eligibility requirements, including asset test
39	39	requirements;
40	40	(7) options for programs to reinsure participating
41	41	health benefit plan issuers; and
42	42	(8) any other issue related to the feasibility,
43	43	implementation, and administration of the program.
44	44	(b) The committee created by Section 1 of this Act shall
45	45	also study:
46	46	(1) health care models and programs to address health
47	47	care spending in this state related to the Medicaid program,
48	48	veterans affairs, hospital districts, charity care, uncompensated
49	49	care, private pay insurance, self-insurance, and other health care
50	50	spending;
51	51	(2) long-term and short-term models and programs with
52	52	proven cost savings, including cost savings for private health care
53	53	and other health care systems, criminal justice systems, child
54	54	welfare systems, and other social and welfare services provided by
55	55	the federal government or this state; and
56	56	(3) health care models and programs that promote
57	57	coordinated collaboration between local and regional communities
58	58	to serve low-income and indigent individuals by providing
59	59	wraparound services resulting in cost-sharing, improved outcomes,
60	60	and a reduction in administrative costs.
61	61	SECTION 3. TEXAS HEALTH CARE ADVISORY COUNCIL. (a) The
62	62	committee established under Section 1 of this Act shall establish
63	63	the Texas Health Care Advisory Council to advise the committee as
64	64	requested on issues related to the subject matter under study and
65	65	review in accordance with this Act.
66	66	(b) The council authorized by Subsection (a) of this section
67	67	is composed of a uniform number of individual members who represent
68	68	the following interests:
69	69	(1) the managed care organization community;
70	70	(2) primary care physicians;
71	71	(3) local mental health authorities;
72	72	(4) hospitals;
73	73	(5) mental health professionals;
74	74	(6) the nursing community;
75	75	(7) health care charity organizations;
76	76	(8) the intellectual and developmental disability
77	77	community;
78	78	(9) the dental community;
79	79	(10) the law enforcement community; and
80	80	(11) the judicial community.
81	81	(c) In addition to the members described by Subsection (b)
82	82	of this section, the Texas Health Care Advisory Council must
83	83	include a member appointed by the executive commissioner of the
84	84	Health and Human Services Commission to represent the interests of
85	85	the commission.
86	86	SECTION 4. COMMITTEE FINDINGS AND RECOMMENDATIONS. (a)
87	87	Not later than January 15, 2017, the committee shall report the
88	88	committee's findings and recommendations to the lieutenant
89	89	governor and the governor. The committee shall include in its
90	90	recommendations specific statutory and regulatory changes that
91	91	appear necessary from the results of the committee's study under
92	92	Section 2 of this Act.
93	93	(b) Not later than the 60th day after the effective date of
94	94	this Act, the lieutenant governor shall appoint the members of the
95	95	committee created under Section 1 of this Act.
96	96	SECTION 5. ABOLITION OF COMMITTEE AND COUNCIL. The
97	97	committee and the council are abolished and this Act expires
98	98	January 20, 2017.
99	99	SECTION 6. EFFECTIVE DATE. This Act takes effect
100	100	immediately if it receives a vote of two-thirds of all the members
101	101	elected to each house, as provided by Section 39, Article III, Texas
102	102	Constitution. If this Act does not receive the vote necessary for
103	103	immediate effect, this Act takes effect September 1, 2015.