Texas 2019 - 86th Regular

Texas House Bill HB2355 Compare Versions

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

Old	New	Differences
1	1	86R13479 KLA-D
2	2	By: Muñoz, Jr. H.B. No. 2355
3	3
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5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to information sharing among care coordinators and
8	8	providers participating in the Medicaid managed care program.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Subchapter A, Chapter 533, Government Code, is
11	11	amended by adding Section 533.00293 to read as follows:
12	12	Sec. 533.00293. INFORMATION SHARING. (a) In this section:
13	13	(1) "Care coordination" means assisting recipients to
14	14	develop a plan of care, including a service plan, that meets the
15	15	recipient's needs and coordinating the provision of Medicaid
16	16	benefits in a manner that is consistent with the plan of care. The
17	17	term is synonymous with "case management," "service coordination,"
18	18	and "service management."
19	19	(2) "Care coordinator" means a person, including a
20	20	case manager, engaged by a managed care organization to provide
21	21	care coordination benefits.
22	22	(b) To the extent permitted under applicable federal and
23	23	state law enacted to protect the confidentiality and privacy of
24	24	patients' health information, managed care organizations that
25	25	contract with the commission under this chapter to provide health
26	26	care services to recipients shall ensure the sharing of
27	27	information, including recipient medical records, among care
28	28	coordinators and health care providers as appropriate to provide
29	29	care coordination benefits. For purposes of implementing this
30	30	section, a managed care organization may allow a care coordinator
31	31	to share a recipient's service plan with health care providers,
32	32	subject to the limitations of this section.
33	33	SECTION 2. If before implementing any provision of this Act
34	34	a state agency determines that a waiver or authorization from a
35	35	federal agency is necessary for implementation of that provision,
36	36	the agency affected by the provision shall request the waiver or
37	37	authorization and may delay implementing that provision until the
38	38	waiver or authorization is granted.
39	39	SECTION 3. This Act takes effect immediately if it receives
40	40	a vote of two-thirds of all the members elected to each house, as
41	41	provided by Section 39, Article III, Texas Constitution. If this
42	42	Act does not receive the vote necessary for immediate effect, this
43	43	Act takes effect September 1, 2019.