13 | | - | SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
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14 | | - | is amended by adding Section 32.0545 to read as follows: |
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15 | | - | Sec. 32.0545. DENTAL SERVICES BENEFIT FOR CERTAIN |
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16 | | - | RECIPIENTS; PILOT PROGRAM. (a) The commission shall develop a |
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17 | | - | dental services benefit under the medical assistance program for |
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18 | | - | adult recipients with disabilities. The dental services benefit |
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19 | | - | must be: |
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20 | | - | (1) cost-effective and designed to achieve cost |
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21 | | - | savings; |
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22 | | - | (2) designed to reduce emergency room visits by or |
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23 | | - | hospitalizations of adult recipients with disabilities resulting |
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24 | | - | from a lack of access to dental services; and |
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25 | | - | (3) designed to meet the individual needs of adult |
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26 | | - | recipients with disabilities. |
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27 | | - | (b) In developing the dental services benefit under this |
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28 | | - | section, the commission shall evaluate dental services benefits |
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29 | | - | provided under medical assistance waiver programs authorized under |
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30 | | - | Section 1115 of the federal Social Security Act (42 U.S.C. Section |
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31 | | - | 1315) and dental services benefits provided as a value-added |
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32 | | - | service under the Medicaid managed care delivery model. |
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33 | | - | (c) Not later than September 1, 2020, the commission shall |
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34 | | - | prepare and submit to the legislature a written report on the dental |
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35 | | - | services benefit developed under this section. |
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36 | | - | (d) The commission may establish and operate a pilot program |
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37 | | - | to provide the dental services benefit developed under this section |
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38 | | - | in one or more geographic areas of this state. The pilot program |
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39 | | - | must conclude not later than September 1, 2022. If the commission |
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40 | | - | establishes the pilot program under this section, the commission |
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41 | | - | shall prepare and submit to the legislature a written report that |
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42 | | - | summarizes the results of the pilot program not later than December |
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43 | | - | 1, 2022. |
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44 | | - | (e) This section expires September 1, 2023. |
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| 10 | + | SECTION 1. Section 32.054, Human Resources Code, is amended |
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| 11 | + | by adding Subsection (f) to read as follows: |
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| 12 | + | (f) The commission shall provide medical assistance |
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| 13 | + | reimbursement for dental services, including preventive dental |
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| 14 | + | services, for an adult recipient with a disability to prevent |
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| 15 | + | serious medical conditions and reduce emergency room visits by the |
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| 16 | + | recipient necessitated by complications resulting from a lack of |
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| 17 | + | access to dental care. |
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