86R9760 LED-D By: RodrÃguez S.B. No. 1808 A BILL TO BE ENTITLED AN ACT relating to the use of promotoras and community health workers in Medicaid managed care. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter A, Chapter 533, Government Code, is amended by adding Section 533.032 to read as follows: Sec. 533.032. PROMOTORAS AND COMMUNITY HEALTH WORKERS. (a) In this section, "promotora" and "community health worker" have the meaning assigned by Section 48.001, Health and Safety Code. (b) The commission shall allow each managed care organization that contracts with the commission to provide health care services to recipients under the STAR Medicaid managed care program to categorize services provided by a promotora or community health worker as a quality improvement cost instead of an administrative expense. SECTION 2. 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 3. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2019.