By: Davis of Harris, Price, Guerra, Darby, H.B. No. 25 Krause, et al. A BILL TO BE ENTITLED AN ACT relating to reimbursement rates for Medicaid acute care therapy services; making an appropriation. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. (a) In addition to other amounts appropriated to the Health and Human Services Commission for the state fiscal biennium ending August 31, 2019, the following amounts are appropriated to the commission for Medicaid acute care therapy services for the specified periods: (1) $34,180,000 from the economic stabilization fund and $44,977,018 from federal funds for the state fiscal year ending August 31, 2018; and (2) $35,995,000 from the economic stabilization fund and $48,262,959 from federal funds for the state fiscal year ending August 31, 2019. (b) It is the intent of the legislature that: (1) the Health and Human Services Commission allocate money appropriated under Subsection (a) of this section among provider types and procedure codes for Medicaid acute care therapy services in a manner that preserves access to care for clients served under the Medicaid fee-for-service and managed care delivery models; and (2) money appropriated under Subsection (a) of this section be fully reflected in reimbursement rates paid to Medicaid acute care therapy services providers under both the Medicaid fee-for-service and managed care delivery models. SECTION 2. The appropriation from the economic stabilization fund to the Trusteed Programs within the Office of the Governor for Strategy A.1.1., Disaster Funds, made by Chapter 605 (S.B. 1), Acts of the 85th Legislature, Regular Session, 2017 (the General Appropriations Act), for the state fiscal biennium beginning September 1, 2017, is reduced by $70,175,000. SECTION 3. (a) Subject to Subsection (b) of this section: (1) 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; and (2) if this Act does not receive the vote necessary for immediate effect, this Act takes effect on the 91st day after the last day of the legislative session. (b) This Act takes effect only if it receives a vote of two-thirds of the members present in each house of the legislature, as provided by Section 49-g(m), Article III, Texas Constitution.