84R11792 PMO-F
By: Perry S.B. No. 1904
A BILL TO BE ENTITLED
AN ACT
relating to the creation of a select interim committee to undertake
a comprehensive review of the provision of public health care
services in this state.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. CREATION OF SELECT INTERIM COMMITTEE. (a) A
select interim committee is created to study and review statutes
and regulations, including model laws and regulations, related to
the provision of health care services in this state.
(b) The committee shall convene at the call of the presiding
officer.
(c) The committee has all other powers and duties provided
to a special or select committee by the rules of the senate,
Subchapter B, Chapter 301, Government Code, and policies of the
senate committee on administration.
SECTION 2. INTERIM STUDY REGARDING THE PROVISION OF HEALTH
CARE SERVICES. (a) The committee created by Section 1 of this Act
shall study the concept of providing health insurance coverage for
acute care and home health care services for Medicaid recipients in
the private insurance market through a capitated or block grant
funding system and, with respect to a program based on that concept
or other similar program:
(1) the requirements to obtain any waiver necessary to
implement and administer the program;
(2) the cost of implementing and administering the
program;
(3) the feasibility of implementing and administering
a cost-sharing and sliding scale subsidy program for the Medicaid
recipients served by the program;
(4) the implementation and administration of health
savings accounts for the Medicaid recipients served by the program;
(5) minimum coverage requirements;
(6) eligibility requirements, including asset test
requirements;
(7) options for programs to reinsure participating
health benefit plan issuers; and
(8) any other issue related to the feasibility,
implementation, and administration of the program.
(b) The committee created by Section 1 of this Act shall
also study:
(1) health care models and programs to address health
care spending in this state related to the Medicaid program,
veterans affairs, hospital districts, charity care, uncompensated
care, private pay insurance, self-insurance, and other health care
spending;
(2) long-term and short-term models and programs with
proven cost savings, including cost savings for private health care
and other health care systems, criminal justice systems, child
welfare systems, and other social and welfare services provided by
the federal government or this state; and
(3) health care models and programs that promote
coordinated collaboration between local and regional communities
to serve low-income and indigent individuals by providing
wraparound services resulting in cost-sharing, improved outcomes,
and a reduction in administrative costs.
SECTION 3. TEXAS HEALTH CARE ADVISORY COUNCIL. (a) The
committee established under Section 1 of this Act shall establish
the Texas Health Care Advisory Council to advise the committee as
requested on issues related to the subject matter under study and
review in accordance with this Act.
(b) The council authorized by Subsection (a) of this section
is composed of a uniform number of individual members who represent
the following interests:
(1) the managed care organization community;
(2) primary care physicians;
(3) local mental health authorities;
(4) hospitals;
(5) mental health professionals;
(6) the nursing community;
(7) health care charity organizations;
(8) the intellectual and developmental disability
community;
(9) the dental community;
(10) the law enforcement community; and
(11) the judicial community.
(c) In addition to the members described by Subsection (b)
of this section, the Texas Health Care Advisory Council must
include a member appointed by the executive commissioner of the
Health and Human Services Commission to represent the interests of
the commission.
SECTION 4. COMMITTEE FINDINGS AND RECOMMENDATIONS. (a)
Not later than January 15, 2017, the committee shall report the
committee's findings and recommendations to the lieutenant
governor and the governor. The committee shall include in its
recommendations specific statutory and regulatory changes that
appear necessary from the results of the committee's study under
Section 2 of this Act.
(b) Not later than the 60th day after the effective date of
this Act, the lieutenant governor shall appoint the members of the
committee created under Section 1 of this Act.
SECTION 5. ABOLITION OF COMMITTEE AND COUNCIL. The
committee and the council are abolished and this Act expires
January 20, 2017.
SECTION 6. EFFECTIVE DATE. This Act takes effect
immediately if it receives a vote of two-thirds of all the members
elected to each house, as provided by Section 39, Article III, Texas
Constitution. If this Act does not receive the vote necessary for
immediate effect, this Act takes effect September 1, 2015.