Texas 2017 - 85th Regular

Texas House Bill HB727 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		85R18810 EES-D
2	2		By: Guerra, Longoria, Sheffield, H.B. No. 727
3	3		Davis of Harris, Laubenberg
4		-	Substitute the following for H.B. No. 727:
5		-	By: Cortez C.S.H.B. No. 727
6	4
7	5
8	6		A BILL TO BE ENTITLED
9	7		AN ACT
10	8		relating to the use of home telemonitoring services under Medicaid.
11	9		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
12	10		SECTION 1. Section 531.02164, Government Code, is amended
13	11		by amending Subsection (c) and adding Subsections (c-1) and (c-2)
14	12		to read as follows:
15	13		(c) The program required under this section must:
16	14		(1) provide that home telemonitoring services are
17	15		available only to a person [persons] who:
18	16		(A) is [are] diagnosed with one or more of the
19	17		following conditions:
20	18		(i) pregnancy;
21	19		(ii) diabetes;
22	20		(iii) heart disease;
23	21		(iv) cancer;
24	22		(v) chronic obstructive pulmonary disease;
25	23		(vi) hypertension;
26	24		(vii) congestive heart failure;
27	25		(viii) mental illness or serious emotional
28	26		disturbance;
29	27		(ix) asthma;
30	28		(x) myocardial infarction; or
31	29		(xi) stroke; and
32	30		(B) exhibits [exhibit] two or more of the
33	31		following risk factors:
34	32		(i) two or more hospitalizations in the
35	33		prior 12-month period;
36	34		(ii) frequent or recurrent emergency room
37	35		admissions;
38	36		(iii) a documented history of poor
39	37		adherence to ordered medication regimens;
40	38		(iv) a documented history of falls in the
41	39		prior six-month period;
42	40		(v) limited or absent informal support
43	41		systems;
44	42		(vi) living alone or being home alone for
45	43		extended periods of time; and
46	44		(vii) a documented history of care access
47	45		challenges;
48	46		(2) ensure that clinical information gathered by a
49	47		home and community support services agency or hospital while
50	48		providing home telemonitoring services is shared with the patient's
51	49		physician; [and]
52	50		(3) ensure that the program does not duplicate disease
53	51		management program services provided under Section 32.057, Human
54	52		Resources Code; and
55	53		(4) provide reimbursement for home telemonitoring
56	54		services in the event of an unsuccessful data transmission if the
57	55		provider of the services attempts to communicate with the patient
58	56		by telephone or in person to establish a successful data
59	57		transmission.
60	58		(c-1) Notwithstanding Subsection (c)(1), the program
61	59		required under this section may also provide that home
62	60		telemonitoring services are available to pediatric patients with
63	61		chronic or complex medical needs who:
64	62		(1) are being concurrently treated by at least three
65	63		medical specialists;
66	64		(2) are diagnosed with end-stage solid organ disease;
67	65		(3) have received an organ transplant; or
68	66		(4) are diagnosed with severe asthma.
69	67		(c-2) A provider that is reimbursed under Subsection (c)(4)
70	68		for home telemonitoring services provided to a patient may not also
71	69		be reimbursed for communicating with the patient by telephone or in
72	70		person to establish a successful data transmission as described by
73	71		Subsection (c)(4).
74	72		SECTION 2. As soon as practicable after the effective date
75	73		of this Act, the executive commissioner of the Health and Human
76	74		Services Commission shall adopt necessary rules to implement the
77	75		changes in law made by this Act.
78	76		SECTION 3. If before implementing any provision of this Act
79	77		a state agency determines that a waiver or authorization from a
80	78		federal agency is necessary for implementation of that provision,
81	79		the agency affected by the provision shall request the waiver or
82	80		authorization and may delay implementing that provision until the
83	81		waiver or authorization is granted.
84	82		SECTION 4. This Act takes effect September 1, 2017.