Texas 2017 - 85th 1st C.S.

Texas Senate Bill SB102 Compare Versions

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

Old	New	Differences
1	1	85S11045 KLA-F
2	2	By: Menéndez S.B. No. 102
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to reimbursement rates for Medicaid acute care therapy
8	8	services; making an appropriation.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. (a) In addition to other amounts appropriated to
11	11	the Health and Human Services Commission for the state fiscal
12	12	biennium ending August 31, 2019, $112,020,886 is appropriated from
13	13	the economic stabilization fund and $148,492,803 is appropriated
14	14	from federal funds to the Health and Human Services Commission for
15	15	that state fiscal biennium to:
16	16	(1) fully reverse the reductions made during the state
17	17	fiscal biennium ending August 31, 2017, to reimbursement rates for
18	18	Medicaid acute care therapy services that are not reversed in
19	19	accordance with Rider 218, S.B. 1, Acts of the 85th Legislature,
20	20	Regular Session, 2017 (the General Appropriations Act), to the bill
21	21	pattern of the appropriations to the commission; and
22	22	(2) provide funding to make unnecessary the
23	23	implementation during the state fiscal biennium ending August 31,
24	24	2019, of adopted reductions in reimbursement rates paid to therapy
25	25	assistants for the provision of Medicaid acute care therapy
26	26	services.
27	27	(b) It is the intent of the legislature that the Health and
28	28	Human Services Commission ensure that money appropriated by this
29	29	section is fully reflected in the reimbursement rates paid to
30	30	providers of Medicaid acute care therapy services in both the
31	31	Medicaid fee-for-service and managed care delivery models.
32	32	SECTION 2. Rider 218, S.B. 1, Acts of the 85th Legislature,
33	33	Regular Session, 2017 (the General Appropriations Act), to the bill
34	34	pattern of the appropriations to the Health and Human Services
35	35	Commission is amended to read as follows:
36	36	218. Adjustment of Therapy Rate Reductions. Funds
37	37	appropriated above in the strategies in Goal A, Medicaid Client
38	38	Services, include $11,850,000 in General Revenue Funds and
39	39	$15,593,261 in Federal Funds ($27,443,261 in All Funds) for fiscal
40	40	year 2018 and $12,555,500 in General Revenue Funds and $16,834,045
41	41	in Federal Funds ($29,389,045 in All Funds) for fiscal year 2019 to
42	42	restore approximately 25 percent of the reductions made to
43	43	reimbursement rates for acute care therapy services during the
44	44	2016-17 biennium. The Health and Human Services Commission is
45	45	directed to allocate the restorations among provider types and
46	46	procedure codes to preserve access to care for clients served under
47	47	Medicaid fee-for-service and managed care models. It is the intent
48	48	of the Legislature that HHSC shall ensure any funds restored
49	49	through this rider are fully reflected in reimbursement rates paid
50	50	to providers of acute care therapy services in both fee-for-service
51	51	and managed care models.
52	52	Additionally, funds appropriated above in Goal A, Medicaid
53	53	Client Services, include $14,100,000 in General Revenue Funds and
54	54	$18,554,006 in Federal Funds ($32,654,006 in All Funds) for fiscal
55	55	year 2018 for the payment of reimbursements to [phase-in and delay
56	56	the reduction of rates for] therapy assistants for the provision of
57	57	Medicaid acute care therapy services. [Appropriated amounts assume
58	58	the reductions will not begin until December 1, 2017 and that rates
59	59	will remain at 85 percent of the rate paid to a licensed therapist
60	60	from that date until September 1, 2018. Appropriated amounts assume
61	61	rates for therapy assistants will be reduced to 70 percent of the
62	62	rate paid to a licensed therapist beginning September 1, 2018.]
63	63	SECTION 3. (a) Subject to Subsection (b) of this section:
64	64	(1) this Act takes effect immediately if it receives a
65	65	vote of two-thirds of all the members elected to each house, as
66	66	provided by Section 39, Article III, Texas Constitution; and
67	67	(2) if this Act does not receive the vote necessary for
68	68	immediate effect, this Act takes effect on the 91st day after the
69	69	last day of the legislative session.
70	70	(b) This Act takes effect only if it receives a vote of
71	71	two-thirds of the members present in each house of the legislature,
72	72	as provided by Section 49-g(m), Article III, Texas Constitution.