87R10982 BDP-F
By: Guillen, Muñoz, Jr., Ramos, Raymond, H.B. No. 3740
Guerra, et al.
A BILL TO BE ENTITLED
AN ACT
relating to the provision of home telemonitoring services under
Medicaid.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 531.02164(c), Government Code, is
amended to read as follows:
(c) The program required under this section must:
(1) provide that home telemonitoring services are
available only to persons who:
(A) are diagnosed with one or more of the
following conditions:
(i) pregnancy;
(ii) diabetes;
(iii) heart disease;
(iv) cancer;
(v) chronic obstructive pulmonary disease;
(vi) hypertension;
(vii) congestive heart failure;
(viii) mental illness or serious emotional
disturbance;
(ix) asthma;
(x) myocardial infarction; or
(xi) stroke; and
(B) exhibit two or more of the following risk
factors:
(i) two or more hospitalizations in the
prior 12-month period;
(ii) frequent or recurrent emergency room
admissions;
(iii) a documented history of poor
adherence to ordered medication regimens;
(iv) a documented history of falls in the
prior six-month period;
(v) limited or absent informal support
systems;
(vi) living alone or being home alone for
extended periods of time; [and]
(vii) a documented history of care access
challenges; and
(viii) a need for a weekly or monthly
skilled nursing assessment;
(2) ensure that clinical information gathered by a
home and community support services agency or hospital while
providing home telemonitoring services is shared with the patient's
physician; and
(3) ensure that the program does not duplicate disease
management program services provided under Section 32.057, Human
Resources Code.
SECTION 2. As soon as practicable after the effective date
of this Act, the executive commissioner of the Health and Human
Services Commission shall adopt rules necessary to implement the
changes in law made by this Act.
SECTION 3. 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 4. This Act takes effect September 1, 2021.