Texas 2019 - 86th Regular

Texas House Bill HCR145 Compare Versions

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

Old	New	Differences
1	1	By: Sheffield H.C.R. No. 145
2	2
3	3
4	4	HOUSE CONCURRENT RESOLUTION
5	5	WHEREAS, the Health and Human Services Commission (HHSC),
6	6	with the support of the Legislature, has created an innovative
7	7	health care safety net through the Health Care Transformation and
8	8	Quality Improvement 1115 waiver; and
9	9	WHEREAS, the 1115 waiver has facilitated access to vital
10	10	healthcare and mental health services, as well as substance abuse
11	11	treatment, through the Delivery System Reform Incentive Payment
12	12	(DSRIP) program; and
13	13	WHEREAS, the DSRIP agreement with the Centers for Medicare
14	14	and Medicaid Services (CMS) for approximately $3 billion in annual
15	15	funding permanently ends in 2021; and
16	16	WHEREAS, it is critical to negotiate a new waiver-based
17	17	solution based on Texas conservative principles that retains the
18	18	healthcare safety net for individuals without access to affordable
19	19	health insurance, most of whom come from families with at least one
20	20	breadwinner; and
21	21	WHEREAS, mental health centers and rural hospitals are
22	22	particularly vulnerable to the increase in uncompensated care that
23	23	will occur without a solution to the loss of DSRIP funding;
24	24	WHEREAS, CMS has asked for innovative proposals from state
25	25	governments that increase budget flexibility, promote personal
26	26	responsibility, and foster a cost-effective approach to treating
27	27	mental illness and pre-existing conditions while increasing access
28	28	to preventive and maternal health services; and
29	29	WHEREAS, while not a pre-requisite for a waiver-based
30	30	solution to the loss of DSRIP funding, it is beneficial for the
31	31	Legislature to demonstrate to HHSC and CMS its support for a
32	32	solution that maximizes federal funding while not expanding state
33	33	Medicaid enrollment or creating a new budget entitlement; now,
34	34	therefore, be it
35	35	RESOLVED, that the 86th Legislature of the State of Texas
36	36	expresses its intent that HHSC negotiate with CMS to leverage
37	37	enhanced federal funding and the CMS commitment to state
38	38	flexibility to develop a non-entitlement coverage model based on
39	39	the private market through a new waiver or a revision of the current
40	40	waiver; and be it further
41	41	RESOLVED, that the Legislature expresses its intent that the
42	42	new or revised waiver be renegotiated within a timeframe that
43	43	minimizes or eliminates any disruption to the healthcare safety net
44	44	caused by the loss of DSRIP funding.