Texas 2019 - 86th Regular

Texas House Bill HB25 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	H.B. No. 25
	1	+	By: González of El Paso, et al. H.B. No. 25
	2	+	(Senate Sponsor - Zaffirini, Miles)
	3	+	(In the Senate - Received from the House April 16, 2019;
	4	+	April 17, 2019, read first time and referred to Committee on Health &
	5	+	Human Services; May 9, 2019, reported adversely, with favorable
	6	+	Committee Substitute by the following vote: Yeas 9, Nays 0;
	7	+	May 9, 2019, sent to printer.)
	8	+	Click here to see the committee vote
	9	+	COMMITTEE SUBSTITUTE FOR H.B. No. 25 By: Miles
2	10
3	11
	12	+	A BILL TO BE ENTITLED
4	13		AN ACT
5	14		relating to a pilot program for providing services to certain women
6	15		and children under the Medicaid medical transportation program.
7	16		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
8	17		SECTION 1. Subchapter B, Chapter 531, Government Code, is
9	18		amended by adding Section 531.024141 to read as follows:
10	19		Sec. 531.024141. PILOT PROGRAM FOR PROVIDING MEDICAL
11	20		TRANSPORTATION PROGRAM SERVICES TO PREGNANT WOMEN AND NEW MOTHERS.
12	21		(a) In this section:
13	22		(1) "Demand response transportation services" means
14	23		medical transportation program services that are provided by
15	24		dispatching a transportation service provider's vehicle in
16	25		response to a request from a client or by a shared one-way trip.
17	26		(2) "Managed transportation organization" has the
18	27		meaning assigned by Section 533.00257.
19	28		(3) "Medicaid managed care organization" means a
20	29		managed care organization as defined by Section 533.001 that
21	30		contracts with the commission under Chapter 533 to provide health
22	31		care services to Medicaid recipients.
23	32		(4) "Medical transportation program" has the meaning
24	33		assigned by Section 531.02414.
25	34		(b) The commission, in collaboration with the Maternal
26	35		Mortality and Morbidity Task Force established under Chapter 34,
27	36		Health and Safety Code, shall develop and, not later than September
28	37		1, 2020, implement a pilot program in at least one health care
29	38		service region, as defined by Section 533.001, that allows for a
30	39		managed transportation organization that participates in the pilot
31	40		program to arrange for and provide medical transportation program
32	41		services to:
33	42		(1) a woman who is enrolled in the STAR Medicaid
34	43		managed care program during the woman's pregnancy and after she
35	44		delivers; and
36	45		(2) the child of a woman described by Subdivision (1)
37	46		who accompanies the woman.
38	47		(c) A managed transportation organization that participates
39	48		in the pilot program shall:
40	49		(1) arrange for and provide the medical transportation
41	50		program services described by Subsection (b) in a manner that does
42	51		not result in additional costs to Medicaid or the commission;
43	52		(2) arrange for and provide demand response
44	53		transportation services, including, to the extent allowed by law,
45	54		through a transportation network company as defined by Section
46	55		2402.001, Occupations Code, to a woman described by Subsection (b)
47	56		if:
48	57		(A) the request for transportation services is
49	58		made during a period of time determined by commission rules before
50	59		the woman requires transportation in order to receive a covered
51	60		health care service; or
52	61		(B) the woman receiving medical transportation
53	62		program services needs to travel directly to and from a location to
54	63		receive a covered health care service and cannot be a participant in
55	64		a shared trip; and
56	65		(3) ensure that the managed transportation
57	66		organization and the managed care organization through which a
58	67		woman described by Subsection (b) receives health care services
59	68		effectively share information and coordinate services for the
60	69		woman.
61	70		(d) In developing the pilot program, the commission shall
62	71		ensure that a managed transportation organization participating in
63	72		the pilot program provides medical transportation services in a
64	73		safe and efficient manner.
65	74		(e) Not later than December 1, 2020, the commission shall
66	75		report to the legislature on the implementation of the pilot
67	76		program.
68	77		(f) The commission shall evaluate the results of the pilot
69	78		program and determine whether the program:
70	79		(1) is cost-effective;
71	80		(2) improves the efficiency and quality of services
72	81		provided under the medical transportation program; and
73	82		(3) is effective in:
74	83		(A) increasing access to prenatal and postpartum
75	84		health care services;
76	85		(B) reducing pregnancy-related complications;
77	86		and
78	87		(C) decreasing the rate of missed appointments
79	88		for covered health care services by women enrolled in the STAR
80	89		Medicaid managed care program.
81	90		(g) Not later than December 1, 2022, the commission shall
82	91		submit a report to the legislature on the results of the pilot
83	92		program. The commission shall include in the report a
84	93		recommendation regarding whether the pilot program should
85	94		continue, be expanded, or terminate.
86	95		(h) The executive commissioner:
87	96		(1) shall adopt rules specifying the number of days or
88	97		hours before transportation services are needed that a request for
89	98		the services must be made for purposes of Subsection (c)(2)(A); and
90	99		(2) may adopt other rules to implement this section.
91	100		(i) This section expires September 1, 2023.
92	101		SECTION 2. If before implementing any provision of this Act
93	102		a state agency determines that a waiver or authorization from a
94	103		federal agency is necessary for implementation of that provision,
95	104		the agency affected by the provision shall request the waiver or
96	105		authorization and may delay implementing that provision until the
97	106		waiver or authorization is granted.
98	107		SECTION 3. This Act takes effect September 1, 2019.
99		-	______________________________ ______________________________
100		-	President of the Senate Speaker of the House
101		-	I certify that H.B. No. 25 was passed by the House on April
102		-	16, 2019, by the following vote: Yeas 100, Nays 32, 2 present, not
103		-	voting; and that the House concurred in Senate amendments to H.B.
104		-	No. 25 on May 22, 2019, by the following vote: Yeas 114, Nays 29, 2
105		-	present, not voting.
106		-	______________________________
107		-	Chief Clerk of the House
108		-	I certify that H.B. No. 25 was passed by the Senate, with
109		-	amendments, on May 16, 2019, by the following vote: Yeas 30, Nays
110		-	1.
111		-	______________________________
112		-	Secretary of the Senate
113		-	APPROVED: __________________
114		-	Date
115		-	__________________
116		-	Governor
	108	+	* * * * *