86R10418 JG-D
By: Menéndez S.B. No. 1177
A BILL TO BE ENTITLED
AN ACT
relating to offering certain evidence-based practices in lieu of
other mental health services by a Medicaid managed care
organization.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 533.005, Government Code, is amended by
adding Subsection (g) to read as follows:
(g) In addition to the requirements specified by Subsection
(a), a contract described by that subsection must contain language
permitting a managed care organization to offer medically
appropriate, cost-effective, evidence-based practices, authorized
by the commission under the contract, in lieu of mental health
services specified in the state Medicaid plan. A recipient is not
required to use a practice authorized under this subsection in lieu
of another mental health service specified in the state Medicaid
plan. The commission shall take into consideration the actual cost
and use of any practices described by this subsection that are
offered by a managed care organization when setting the capitation
rates for that organization under the contract.
SECTION 2. Section 533.005, Government Code, as amended by
this Act, applies to a contract entered into or renewed on or after
the effective date of this Act. A contract entered into or renewed
before that date is governed by the law in effect on the date the
contract was entered into or renewed, and that law is continued in
effect for that purpose.
SECTION 3. 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 4. This Act takes effect September 1, 2019.