86R13479 KLA-D
By: Muñoz, Jr. H.B. No. 2355
A BILL TO BE ENTITLED
AN ACT
relating to information sharing among care coordinators and
providers participating in the Medicaid managed care program.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter A, Chapter 533, Government Code, is
amended by adding Section 533.00293 to read as follows:
Sec. 533.00293. INFORMATION SHARING. (a) In this section:
(1) "Care coordination" means assisting recipients to
develop a plan of care, including a service plan, that meets the
recipient's needs and coordinating the provision of Medicaid
benefits in a manner that is consistent with the plan of care. The
term is synonymous with "case management," "service coordination,"
and "service management."
(2) "Care coordinator" means a person, including a
case manager, engaged by a managed care organization to provide
care coordination benefits.
(b) To the extent permitted under applicable federal and
state law enacted to protect the confidentiality and privacy of
patients' health information, managed care organizations that
contract with the commission under this chapter to provide health
care services to recipients shall ensure the sharing of
information, including recipient medical records, among care
coordinators and health care providers as appropriate to provide
care coordination benefits. For purposes of implementing this
section, a managed care organization may allow a care coordinator
to share a recipient's service plan with health care providers,
subject to the limitations of this section.
SECTION 2. 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 3. 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, 2019.