| 1 | 1 | | 86R10865 JG-D |
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| 2 | 2 | | By: West S.B. No. 1263 |
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| 3 | 3 | | |
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| 4 | 4 | | |
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| 5 | 5 | | A BILL TO BE ENTITLED |
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| 6 | 6 | | AN ACT |
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| 7 | 7 | | relating to Medicaid reimbursement for dental services provided to |
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| 8 | 8 | | certain Medicaid recipients. |
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| 9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 10 | 10 | | SECTION 1. Section 32.054, Human Resources Code, is amended |
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| 11 | 11 | | by adding Subsections (f) and (g) to read as follows: |
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| 12 | 12 | | (f) In addition to any emergency dental services already |
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| 13 | 13 | | covered under the medical assistance program, the commission shall |
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| 14 | 14 | | provide medical assistance reimbursement in an annual amount of not |
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| 15 | 15 | | more than $750 for preventive dental services, including diagnostic |
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| 16 | 16 | | services, tooth extractions, fillings, and annual cleanings, for |
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| 17 | 17 | | recipients who are 21 years of age or older. |
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| 18 | 18 | | (g) The commission shall provide medical assistance |
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| 19 | 19 | | reimbursement for the medically necessary use of anesthesia during |
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| 20 | 20 | | a dental service, as determined by the dentist performing the |
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| 21 | 21 | | service, for a recipient with a disability or a recipient who is |
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| 22 | 22 | | receiving treatment by an oral surgeon. The use of anesthesia is |
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| 23 | 23 | | excluded from the annual maximum benefit amount under Subsection |
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| 24 | 24 | | (f). |
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| 25 | 25 | | SECTION 2. If before implementing any provision of this Act |
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| 26 | 26 | | a state agency determines that a waiver or authorization from a |
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| 27 | 27 | | federal agency is necessary for implementation of that provision, |
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| 28 | 28 | | the agency affected by the provision shall request the waiver or |
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| 29 | 29 | | authorization and may delay implementing that provision until the |
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| 30 | 30 | | waiver or authorization is granted. |
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| 31 | 31 | | SECTION 3. This Act takes effect September 1, 2019. |
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