Texas 2017 - 85th Regular

Texas House Bill HB3634 Compare Versions

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

Old	New	Differences
1	1	By: Bonnen of Galveston H.B. No. 3634
2	2
3	3
4	4	A BILL TO BE ENTITLED
5	5	AN ACT
6	6	relating to the amendment of the Texas Health Care Transformation
7	7	and Quality Improvement Program waiver.
8	8	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
9	9	SECTION 1. Chapter 531, Government Code, is amended by
10	10	adding Subchapter N-1 to read as follows:
11	11	SUBCHAPTER N-1. TEXAS HEALTH CARE TRANSFORMATION AND QUALITY
12	12	IMPROVEMENT PROGRAM WAIVER
13	13	Sec. 531.521. AMENDMENT OF TEXAS HEALTH CARE TRANSFORMATION
14	14	AND QUALITY IMPROVEMENT PROGRAM WAIVER. Notwithstanding any other
15	15	law, the commission shall seek to amend the Texas Health Care
16	16	Transformation and Quality Improvement Program waiver issued under
17	17	Section 1115 of the federal Social Security Act (42 U.S.C. Section
18	18	1315) to:
19	19	(1) reinstate the eligibility criteria for Medicaid
20	20	that existed on December 31, 2013, including by reinstating income
21	21	limits and asset test requirements that existed on that date,
22	22	eliminating income disregards that have been implemented since that
23	23	date, and discontinuing the use of the modified adjusted gross
24	24	income (MAGI) income eligibility methodology;
25	25	(2) ensure that the eligibility certification period
26	26	for Medicaid is six months;
27	27	(3) prohibit recipients enrolled in a Medicaid managed
28	28	care plan from enrolling in a different Medicaid managed care plan
29	29	at any time during the 6-month period after the date of enrollment
30	30	in the plan without cause, to the extent not prohibited by federal
31	31	law;
32	32	(4) reinstate the eligibility criteria for the child
33	33	health plan program that existed immediately before the effective
34	34	date of Chapter 1353 (H.B. 109), Acts of the 80th Legislature,
35	35	Regular Session, 2007, including by reinstating asset test
36	36	requirements that existed immediately before that date,
37	37	eliminating income disregards that have been implemented since that
38	38	date, and discontinuing the use of the modified adjusted gross
39	39	income (MAGI) income eligibility methodology;
40	40	(5) ensure that the eligibility certification period
41	41	for the child health plan program is six months;
42	42	(6) require Medicaid recipients and child health plan
43	43	program enrollees to participate in a health insurance premium
44	44	payment reimbursement program if the employer-sponsored coverage
45	45	available to the recipient or enrollee meets benchmarks established
46	46	by the commission;
47	47	(7) authorize the commission to establish a system in
48	48	which employers may pay all or part of the share of a premium
49	49	required to be paid by a recipient or enrollee described by
50	50	Subdivision (6);
51	51	(8) require Medicaid recipients to pay copayments for
52	52	services provided under Medicaid to the same extent copayments
53	53	for
54	54	the same or similar services are required under the child health
55	55	plan program;
56	56	(9) authorize the imposition of fees on Medicaid
57	57	recipients and child health plan program enrollees for missed
58	58	health care appointments that are more comparable to those imposed
59	59	in the private market;
60	60	(10) require adult Medicaid recipients to sign a
61	61	personal responsibility agreement similar to the agreement
62	62	required for adult recipients of financial assistance benefits
63	63	under Section 31.0031, Human Resources Code;
64	64	(11) ensure that the commission has broad authority to
65	65	evaluate new and innovative payment and service delivery models for
66	66	Medicaid by implementing pilot programs to test those models,
67	67	including pilot programs to evaluate the direct primary care
68	68	payment model, bundled payment models, and the delivery of services
69	69	through accountable care organizations, without the need to seek
70	70	additional waivers or authorizations for implementation of those
71	71	pilot programs; and
72	72	(12) operate Medicaid under a block grant funding
73	73	system based on population and cost growth trends.
74	74	SECTION 2. Chapter 537, Government Code, is repealed.
75	75	SECTION 3. Not later than October 1, 2017, the Health and
76	76	Human Services Commission shall apply to the federal Centers for
77	77	Medicare and Medicaid Services to amend the Texas Health Care
78	78	Transformation and Quality Improvement Program waiver issued under
79	79	Section 1115 of the federal Social Security Act (42 U.S.C. Section
80	80	1315), as required by Subchapter N-1, Government Code, as added by
81	81	this Act.
82	82	SECTION 4. This Act takes effect September 1, 2017.