Texas 2017 - 85th Regular

Texas House Bill HB3541 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	~~85R26978~~ EES-F
	1	+	85R10780 EES-D
2	2		By: Price H.B. No. 3541
3		-	Substitute the following for H.B. No. 3541:
4		-	By: Price C.S.H.B. No. 3541
5	3
6	4
7	5		A BILL TO BE ENTITLED
8	6		AN ACT
9	7		relating to requirements for Medicaid managed care organizations
10	8		that provide behavioral health services through a third party or
11	9		subsidiary.
12	10		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
13	11		SECTION 1. Subchapter A, Chapter 533, Government Code, is
14	12		amended by adding Section 533.002553 to read as follows:
15	13		Sec. 533.002553. BEHAVIORAL HEALTH SERVICES PROVIDED
16	14		THROUGH THIRD PARTY OR SUBSIDIARY. (a) In this section,
17	15		"behavioral health services" has the meaning assigned by Section
18	16		533.00255.
19	17		(b) For a managed care organization that contracts with the
20	18		commission under this chapter and that provides behavioral health
21	19		services through a contract with a third party or an arrangement
22	20		with a subsidiary of the managed care organization, the commission
23	21		shall:
24	22		(1) require the effective sharing and integration of
25	23		care coordination, service authorization, and utilization
26	24		management data between the managed care organization and the third
27	25		party or subsidiary;
28	26		(2) encourage, to the extent feasible, the colocation
29	27		of physical health and behavioral health care coordination staff;
30	28		(3) require warm call transfers between physical
31	29		health and behavioral health care coordination staff;
32	30		(4) require the managed care organization and the
33	31		third party or subsidiary to implement joint rounds for physical
34		-	health and behavioral health services ~~network~~ providers or some
35		-	~~other~~ effective means for sharing clinical information; and
	32	+	health and behavioral health services providers or some other
	33	+	effective means for sharing clinical information; and
36	34		(5) ensure that the managed care organization makes
37		-	available a ~~seamless provider portal for both physical health and~~
38		-	~~behavioral health services network providers, to~~ the ~~extent allowed~~
39		-	~~by federal law~~.
	35	+	available to recipients enrolled in a managed care plan issued by
	36	+	the managed care organization a seamless provider portal for both
	37	+	physical health and behavioral health services providers.
40	38		SECTION 2. If before implementing any provision of this Act
41	39		a state agency determines that a waiver or authorization from a
42	40		federal agency is necessary for implementation of that provision,
43	41		the agency affected by the provision shall request the waiver or
44	42		authorization and may delay implementing that provision until the
45	43		waiver or authorization is granted.
46	44		SECTION 3. This Act takes effect September 1, 2017.