By: RodrÃguez S.B. No. 2226
A BILL TO BE ENTITLED
AN ACT
relating to the renewal of the Texas Health Care Transformation and
Quality Improvement Program waiver under Medicaid.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Chapter 531, Government Code, is amended by
adding Subchapter N-1 to read as follows:
SUBCHAPTER N-1. TEXAS HEALTH CARE TRANSFORMATION AND QUALITY
IMPROVEMENT PROGRAM WAIVER
Sec. 531.521. RENEWAL REQUIREMENTS. Any renewal of the
Texas Health Care Transformation and Quality Improvement Program
waiver issued under Section 1115 of the federal Social Security Act
(42 U.S.C. Section 1315) must:
(1) allocate funding to hospitals and other safety net
providers to ensure the financial viability of the hospitals and
providers;
(2) provide incentives for:
(A) developing and expanding local and regional
health care systems in order to reduce health care costs and
increase the amount and types of health care services provided to
uninsured persons; and
(B) encouraging Medicaid recipients to actively
participate in their health care and engage in healthy behaviors;
(3) provide a continuum of health care services for
Medicaid recipients that includes:
(A) preventive care;
(B) primary care;
(C) specialty care;
(D) outpatient services;
(E) inpatient services;
(F) mental health services; and
(G) substance use services;
(4) allow for variation in the manner Medicaid
services are delivered, including through the use of:
(A) managed care organizations;
(B) accountable care organizations; or
(C) health savings accounts; and
(5) ensure that any additional federal matching funds
available are accepted and used to provide local and regional
health care services to otherwise uninsured persons.
SECTION 2. 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, 2017.