Texas 2021 - 87th Regular

Texas House Bill HB133 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	H.B. No. 133
	1	+	By: Rose, et al. (Senate Sponsor - Kolkhorst, et al.) H.B. No. 133
	2	+	(In the Senate - Received from the House April 19, 2021;
	3	+	April 19, 2021, read first time and referred to Committee on Health &
	4	+	Human Services; May 22, 2021, reported adversely, with favorable
	5	+	Committee Substitute by the following vote: Yeas 8, Nays 0;
	6	+	May 22, 2021, sent to printer.)
	7	+	Click here to see the committee vote
	8	+	COMMITTEE SUBSTITUTE FOR H.B. No. 133 By: Buckingham
2	9
3	10
	11	+	A BILL TO BE ENTITLED
4	12		AN ACT
5	13		relating to the provision of certain benefits under Medicaid and
6	14		the Healthy Texas Women program, including the transition of case
7	15		management for children and pregnant women program services and
8	16		Healthy Texas Women program services to a managed care program.
9	17		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	18		SECTION 1. Subchapter A, Chapter 533, Government Code, is
11	19		amended by adding Section 533.002555 to read as follows:
12	20		Sec. 533.002555. TRANSITION OF CASE MANAGEMENT FOR CHILDREN
13	21		AND PREGNANT WOMEN PROGRAM RECIPIENTS TO MANAGED CARE PROGRAM. (a)
14	22		In this section, "children and pregnant women program" means the
15	23		benefits program provided under Medicaid and administered by the
16	24		Department of State Health Services that provides case management
17	25		services to children who have a health condition or health risk and
18	26		pregnant women who have a high-risk condition.
19	27		(b) The commission shall transition to a Medicaid managed
20	28		care model all case management services provided to recipients
21	29		under the children and pregnant women program. In transitioning
22	30		services under this section, the commission shall ensure a
23	31		recipient is provided case management services through the managed
24	32		care plan in which the recipient is enrolled.
25	33		(c) In implementing this section, the commission shall
26	34		ensure:
27	35		(1) a seamless transition in case management for
28	36		recipients receiving benefits under the children and pregnant women
29	37		program; and
30	38		(2) case management services provided under the
31	39		program are not interrupted.
32	40		SECTION 2. Subchapter F, Chapter 32, Health and Safety
33	41		Code, is amended by amending Section 32.152 and adding Sections
34	42		32.156 and 32.157 to read as follows:
35	43		Sec. 32.152. [ASSESSING] PROVISION OF HEALTHY TEXAS WOMEN
36	44		PROGRAM SERVICES THROUGH MANAGED CARE. (a) The commission shall
37	45		contract [assess:
38	46		[(1) the feasibility and cost-effectiveness of
39	47		contracting] with Medicaid managed care organizations to provide
40	48		Healthy Texas Women program services [through managed care in one
41	49		or more health care service regions in this state if the Healthy
42	50		Texas Women Section 1115 Demonstration Waiver is approved; and
43	51		[(2) the potential impact of that delivery model on
44	52		women receiving services under the program].
45	53		(b) In implementing this section, the commission shall:
46	54		(1) consult with the state Medicaid managed care
47	55		advisory committee before contracting with Medicaid managed care
48	56		organizations to provide Healthy Texas Women program services under
49	57		this section;
50	58		(2) identify barriers that prevent women from
51	59		obtaining Healthy Texas Women program services and seek
52	60		opportunities to mitigate those barriers; and
53	61		(3) designate Healthy Texas Women program service
54	62		providers as significant traditional providers until at least the
55	63		third anniversary of the date the commission initially contracts
56	64		with Medicaid managed care organizations to provide program
57	65		services. [This section expires September 1, 2021.]
58	66		Sec. 32.156. INFORMATION ABOUT AVAILABILITY OF SUBSIDIZED
59	67		HEALTH INSURANCE COVERAGE. (a) The commission and each managed
60	68		care organization participating in the Healthy Texas Women program
61	69		shall provide a written notice containing information about
62	70		eligibility requirements for and enrollment in a health benefit
63	71		plan for which an enrollee receives a premium subsidy under the
64	72		Patient Protection and Affordable Care Act (Pub. L. No. 111-148),
65	73		based on family income, to a woman who:
66	74		(1) is enrolled in the Healthy Texas Women program;
67	75		and
68	76		(2) has a household income that is more than 100
69	77		percent but not more than 200 percent of the federal poverty level.
70	78		(b) The commission, in consultation with the Texas
71	79		Department of Insurance, shall develop the form and content of the
72	80		notice required under this section. The notice must include:
73	81		(1) the latest information written in clear and easily
74	82		understood language on available options for obtaining a subsidized
75	83		health benefit plan described by Subsection (a); and
76	84		(2) resources for receiving assistance applying for
77	85		and enrolling in that health benefit plan.
78	86		Sec. 32.157. ASSESSING AUTOMATIC ENROLLMENT OF CERTAIN
79	87		WOMEN IN MANAGED CARE. (a) Not later than January 1, 2023, the
80	88		commission shall assess the feasibility, cost-effectiveness, and
81	89		benefits of automatically enrolling in managed care the women who
82	90		become pregnant while receiving services through the Healthy Texas
83	91		Women program. The assessment must examine whether automatically
84	92		enrolling those women leads to the delivery of prenatal care and
85	93		services earlier in the women's pregnancies.
86	94		(b) This section expires September 1, 2023.
87	95		SECTION 3. Section 32.024, Human Resources Code, is amended
88	96		by adding Subsection (l-1) to read as follows:
89	97		(l-1) The commission shall continue to provide medical
90	98		assistance to a woman who is eligible for medical assistance for
91	99		pregnant women for a period of not less than six months following
92	100		the date the woman delivers or experiences an involuntary
93	101		miscarriage.
94	102		SECTION 4. As soon as practicable after the effective date
95	103		of this Act, the executive commissioner of the Health and Human
96	104		Services Commission shall adopt rules necessary to implement the
97	105		changes in law made by this Act.
98	106		SECTION 5. If before implementing any provision of this Act
99	107		a state agency determines that a waiver or authorization from a
100	108		federal agency is necessary for implementation of that provision,
101	109		the agency affected by the provision shall request the waiver or
102	110		authorization and may delay implementing that provision until the
103	111		waiver or authorization is granted.
104	112		SECTION 6. The Health and Human Services Commission is
105	113		required to implement a provision of this Act only if the
106	114		legislature appropriates money specifically for that purpose. If
107	115		the legislature does not appropriate money specifically for that
108	116		purpose, the Health and Human Services Commission may, but is not
109	117		required to, implement a provision of this Act using other
110	118		appropriations available for that purpose.
111	119		SECTION 7. This Act takes effect September 1, 2021.
112		-	______________________________ ______________________________
113		-	President of the Senate Speaker of the House
114		-	I certify that H.B. No. 133 was passed by the House on April
115		-	15, 2021, by the following vote: Yeas 121, Nays 24, 1 present, not
116		-	voting; and that the House concurred in Senate amendments to H.B.
117		-	No. 133 on May 28, 2021, by the following vote: Yeas 135, Nays 9, 2
118		-	present, not voting.
119		-	______________________________
120		-	Chief Clerk of the House
121		-	I certify that H.B. No. 133 was passed by the Senate, with
122		-	amendments, on May 26, 2021, by the following vote: Yeas 30, Nays
123		-	1.
124		-	______________________________
125		-	Secretary of the Senate
126		-	APPROVED: __________________
127		-	Date
128		-	__________________
129		-	Governor
	120	+	* * * * *