1 | 1 | | 87R10983 KKR-F |
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2 | 2 | | By: Klick H.B. No. 3239 |
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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 the reimbursement of wound care education and training |
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8 | 8 | | services providers under Medicaid. |
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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. Subchapter B, Chapter 32, Human Resources Code, |
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11 | 11 | | is amended by adding Section 32.02492 to read as follows: |
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12 | 12 | | Sec. 32.02492. REIMBURSEMENT OF CERTAIN PROVIDERS OF WOUND |
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13 | 13 | | CARE EDUCATION AND TRAINING SERVICES. (a) The commission shall |
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14 | 14 | | provide medical assistance reimbursement to an authorized wound |
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15 | 15 | | care education and training services provider who provides to a |
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16 | 16 | | recipient necessary wound care education and training. |
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17 | 17 | | (b) The commission shall approve a person as an authorized |
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18 | 18 | | wound care education and training services provider if the person: |
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19 | 19 | | (1) is enrolled as a provider under the medical |
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20 | 20 | | assistance program; and |
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21 | 21 | | (2) meets quality standards for wound care education |
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22 | 22 | | and training approved by the commission. |
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23 | 23 | | (c) An authorized wound care education and training |
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24 | 24 | | services provider shall determine a recipient's need for wound care |
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25 | 25 | | education and training services. The provider must certify that |
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26 | 26 | | the education and training is necessary for the recipient to |
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27 | 27 | | provide self-care in order to assist in wound care management and to |
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28 | 28 | | improve the recipient's health care outcomes. |
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29 | 29 | | (d) The executive commissioner, after consulting with |
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30 | 30 | | organizations that assist individuals with wound care, including |
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31 | 31 | | recipients of medical assistance, shall: |
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32 | 32 | | (1) adopt reimbursement rates for an authorized wound |
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33 | 33 | | care education and training services provider for the provision of |
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34 | 34 | | wound care education and training services; and |
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35 | 35 | | (2) establish outcome measures for evaluating the |
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36 | 36 | | health care outcomes of recipients who receive wound care education |
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37 | 37 | | and training services from an authorized wound care education and |
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38 | 38 | | training services provider. |
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39 | 39 | | SECTION 2. If before implementing any provision of this Act |
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40 | 40 | | a state agency determines that a waiver or authorization from a |
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41 | 41 | | federal agency is necessary for implementation of that provision, |
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42 | 42 | | the agency affected by the provision shall request the waiver or |
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43 | 43 | | authorization and may delay implementing that provision until the |
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44 | 44 | | waiver or authorization is granted. |
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45 | 45 | | SECTION 3. This Act takes effect September 1, 2021. |
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