86R5772 JG-F
By: Phelan H.B. No. 1576
A BILL TO BE ENTITLED
AN ACT
relating to the delivery of certain transportation services under
Medicaid and certain other health and human services programs.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 531.02414(a), Government Code, is
amended by amending Subdivision (1) and adding Subdivisions (1-a)
and (3) to read as follows:
(1) "Medical transportation program" means the
program that provides nonemergency transportation services [to and
from covered health care services, based on medical necessity,] to
recipients under Medicaid, the children with special health care
needs program, and the transportation for indigent cancer patients
program, who have no other means of transportation.
(1-a) "Nonemergency transportation service" means a
service provided to transport a person to or from medically
necessary services covered under a health care program in which the
person is enrolled. The term does not include a nonmedical
transportation service as defined by Section 531.024142.
(3) "Transportation network company" has the meaning
assigned by Section 2402.001, Occupations Code.
SECTION 2. Section 531.02414, Government Code, is amended
by amending Subsection (f) and adding Subsections (i) and (j) to
read as follows:
(f) Except as provided by Subsection (i), the [The]
commission shall require compliance with the rules adopted under
Subsection (e) in any contract entered into with a regional
contracted broker to provide nonemergency transportation services
under the medical transportation program.
(i) A regional contracted broker may subcontract with a
transportation network company to provide services under this
section. A rule or other requirement adopted by the executive
commissioner under Subsection (e) does not apply to the
subcontracted transportation network company or a motor vehicle
operator who is part of the company's network. The commission or
the regional contracted broker may not require a motor vehicle
operator who is part of the subcontracted transportation network
company's network to enroll as a Medicaid provider to provide
services under this section.
(j) Notwithstanding any other law, a motor vehicle operator
who is part of the network of a transportation network company that
subcontracts with a regional contracted broker under Subsection (i)
and who satisfies the driver requirements in Section 2402.107,
Occupations Code, is qualified to provide services under this
section. The commission and the regional contracted broker may not
impose any additional requirements on a motor vehicle operator who
satisfies the driver requirements in Section 2402.107, Occupations
Code, to provide services under this section.
SECTION 3. Subchapter B, Chapter 531, Government Code, is
amended by adding Section 531.024142 to read as follows:
Sec. 531.024142. NONMEDICAL TRANSPORTATION SERVICES UNDER
MEDICAID. (a) In this section:
(1) "Managed care organization" means a managed care
organization that contracts with the commission to provide health
care services to Medicaid recipients under Chapter 533.
(2) "Nonmedical transportation service" means:
(A) transportation of a Medicaid recipient
enrolled in a managed care plan, other than a recipient whose
medical or physical condition contraindicates the use of
transportation services, to and from a medically necessary,
nonemergency covered health care service that is scheduled not more
than 48 hours before the transportation occurs, including
transportation related to:
(i) discharge of a recipient from a health
care facility;
(ii) receipt of urgent care;
(iii) obtaining pharmacy services and
prescription drugs; and
(iv) obtaining any other time-sensitive
covered health care service; and
(B) any other transportation to or from a
medically necessary, nonemergency covered health care service the
commission considers appropriate to be provided by a transportation
vendor, as determined by commission rule or policy.
(3) "Transportation network company" has the meaning
assigned by Section 2402.001, Occupations Code.
(4) "Transportation vendor" means an entity,
including a transportation network company, that contracts with a
managed care organization to provide nonmedical transportation
services.
(b) The executive commissioner shall adopt rules regarding
the manner in which nonmedical transportation services may be
arranged and provided.
(c) The rules must require a managed care organization to
create a process to:
(1) verify that a passenger is eligible to receive
nonmedical transportation services; and
(2) ensure that nonmedical transportation services
are provided only to and from covered health care services.
(d) The rules must require a transportation vendor to,
before permitting a motor vehicle operator to provide nonmedical
transportation services:
(1) confirm that the operator:
(A) is at least 18 years of age;
(B) maintains a valid driver's license issued by
this state, another state, or the District of Columbia; and
(C) possesses proof of registration and
automobile financial responsibility for each motor vehicle to be
used to provide nonmedical transportation services;
(2) conduct, or cause to be conducted, a local, state,
and national criminal background check for the operator that
includes the use of:
(A) a commercial multistate and
multijurisdiction criminal records locator or other similar
commercial nationwide database; and
(B) the national sex offender public website
maintained by the United States Department of Justice or a
successor agency;
(3) confirm that any vehicle to be used to provide
nonmedical transportation services:
(A) meets the applicable requirements of Chapter
548, Transportation Code; and
(B) has at least four doors; and
(4) obtain and review the operator's driving record.
(e) The rules may not permit a motor vehicle operator to
provide nonmedical transportation services if the operator:
(1) has been convicted in the three-year period
preceding the issue date of the driving record obtained under
Subsection (d)(4) of:
(A) more than three offenses classified by the
Department of Public Safety as moving violations; or
(B) one or more of the following offenses:
(i) fleeing or attempting to elude a police
officer under Section 545.421, Transportation Code;
(ii) reckless driving under Section
545.401, Transportation Code;
(iii) driving without a valid driver's
license under Section 521.025, Transportation Code; or
(iv) driving with an invalid driver's
license under Section 521.457, Transportation Code;
(2) has been convicted in the preceding seven-year
period of any of the following:
(A) driving while intoxicated under Section
49.04 or 49.045, Penal Code;
(B) use of a motor vehicle to commit a felony;
(C) a felony crime involving property damage;
(D) fraud;
(E) theft;
(F) an act of violence; or
(G) an act of terrorism; or
(3) is found to be registered in the national sex
offender public website maintained by the United States Department
of Justice or a successor agency.
(f) The commission may not require:
(1) a motor vehicle operator to enroll as a Medicaid
provider to provide nonmedical transportation services; or
(2) a managed care organization to credential a motor
vehicle operator to provide nonmedical transportation services.
(g) Notwithstanding any other law, a motor vehicle operator
who is part of a transportation network company's network and who
satisfies the driver requirements in Section 2402.107, Occupations
Code, is qualified to provide nonmedical transportation services.
The commission and a managed care organization may not impose any
additional requirements on a motor vehicle operator who satisfies
the driver requirements in Section 2402.107, Occupations Code, to
provide nonmedical transportation services.
SECTION 4. Section 533.00257(a), Government Code, is
amended by adding Subdivision (2-a) to read as follows:
(2-a) "Transportation network company" has the
meaning assigned by Section 2402.001, Occupations Code.
SECTION 5. Section 533.00257, Government Code, is amended
by amending Subsections (d) and (g) and adding Subsections (k) and
(l) to read as follows:
(d) A managed transportation organization that participates
in the medical transportation program must attempt to contract with
medical transportation providers that:
(1) are considered significant traditional providers,
as defined by rule by the executive commissioner;
(2) except as provided by Subsections (k) and (l),
meet the minimum quality and efficiency measures required under
Subsection (g) and other requirements that may be imposed by the
managed transportation organization; and
(3) agree to accept the prevailing contract rate of
the managed transportation organization.
(g) Except as provided by Subsections (k) and (l), the [The]
commission shall require that managed transportation organizations
and providers participating in the medical transportation program
meet minimum quality and efficiency measures as determined by the
commission.
(k) A managed transportation organization may subcontract
with a transportation network company to provide services under
this section. A rule or other requirement adopted by the executive
commissioner under this section or Section 531.02414 does not apply
to the subcontracted transportation network company or a motor
vehicle operator who is part of the company's network. The
commission or the managed transportation organization may not
require a motor vehicle operator who is part of the subcontracted
transportation network company's network to enroll as a Medicaid
provider to provide services under this section.
(l) Notwithstanding any other law, a motor vehicle operator
who is part of the network of a transportation network company that
subcontracts with a managed transportation organization under
Subsection (k) and who satisfies the driver requirements in Section
2402.107, Occupations Code, is qualified to provide services under
this section. The commission and the managed transportation
organization may not impose any additional requirements on a motor
vehicle operator who satisfies the driver requirements in Section
2402.107, Occupations Code, to provide services under this section.
SECTION 6. Subchapter A, Chapter 533, Government Code, is
amended by adding Section 533.00259 to read as follows:
Sec. 533.00259. DELIVERY OF NONMEDICAL TRANSPORTATION
SERVICES. (a) In this section, "nonmedical transportation
service" and "transportation vendor" have the meanings assigned by
Section 531.024142.
(b) Each managed care organization that contracts with the
commission to provide health care services to recipients shall
arrange for the provision of nonmedical transportation services. A
managed care organization may contract with a transportation vendor
or other third party to arrange for the provision of nonmedical
transportation services. If a managed care organization contracts
with a third party that is not a transportation vendor to arrange
for the provision of nonmedical transportation services, the third
party shall contract with a transportation vendor to deliver the
nonmedical transportation services.
(c) A managed care organization that contracts with a
transportation vendor or other third party to arrange for the
provision of nonmedical transportation services shall ensure the
effective sharing and integration of service coordination, service
authorization, and utilization management data between the managed
care organization and the transportation vendor or third party.
(d) A managed care organization may not require:
(1) a motor vehicle operator to enroll as a Medicaid
provider to provide nonmedical transportation services; or
(2) the credentialing of a motor vehicle operator to
provide nonmedical transportation services.
SECTION 7. As soon as practicable after the effective date
of this Act, the executive commissioner of the Health and Human
Services Commission shall adopt rules as necessary to implement the
changes in law made by this Act.
SECTION 8. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 9. This Act takes effect September 1, 2019.