Texas Senate Bill SB2167

Texas 2019 - 86th Regular

Caption

Relating to implementation of the system redesign for the delivery of Medicaid benefits to persons with intellectual or developmental disabilities.

Impact

The introduction of SB2167 is a pivotal move towards integrating services for Medicaid recipients with intellectual and developmental disabilities. By establishing a pilot program to test the effectiveness of service delivery through managed care organizations, the bill seeks to achieve a holistic approach to care that aligns acute and long-term services. Key goals of this initiative involve promoting person-centered planning and ensuring that individuals and their families are active participants in the care process. The anticipated outcomes include enhanced service coordination, improvement in the use of funding, and overall better life outcomes for recipients.

Summary

SB2167 aims to reform the delivery of Medicaid benefits for individuals with intellectual and developmental disabilities in Texas. The bill transitions the provision of these services to a managed care model under the STAR+PLUS Medicaid program. This shift is intended to enhance the accessibility and quality of home and community-based services, facilitating a more streamlined and effective support system for this vulnerable population. As of September 1, 2024, these changes will be implemented, setting a foundation for improved service delivery based on established best practices from the existing STAR+PLUS framework.

Contention

There may be some contention surrounding the implementation of SB2167, particularly regarding its impact on existing Medicaid services and the adjustment period for providers and users alike. While proponents argue that transitioning to a managed care model will lead to better resource allocation and service quality, there are concerns about whether such a significant transition will create disruptions in service delivery, especially for those already dependent on Medicaid. Additionally, the requirement for ongoing evaluations and adjustments, as well as the establishment of a person-centered planning process, may also present operational challenges that will require close management and oversight.