Texas Senate Bill SB1858

Texas 2021 - 87th Regular

Caption

Relating to a study and pilot program to evaluate the provision of prenatal and well child care in a group clinical setting and authority to take related action.

Impact

The bill is expected to influence state laws concerning Medicaid reimbursement structures by mandating enhanced payments to healthcare providers participating in the curriculum-based group well child care model. The commission is instructed to evaluate whether such enhancements improve attendance rates for well child visits and screenings. The two-year pilot program allows for a detailed analysis of the health benefits and potential cost savings associated with this group care model, particularly in the context of Medicaid's financial sustainability. Additionally, the program will explore virtual modalities for service delivery, a practice that gained relevance during the COVID-19 pandemic.

Summary

SB1858 is a Texas legislative bill aimed at improving prenatal and well child health care by introducing a pilot program that evaluates the provision of these services in a group clinical setting. The bill mandates the Health and Human Services Commission to develop and implement this pilot program effectively by March 1, 2022. It emphasizes a curriculum-based approach designed to increase attendance rates for essential health care visits, including immunizations and developmental screenings, which are crucial for children's health outcomes. The program is to operate in selected geographical areas within Texas for a two-year duration, allowing for a thorough assessment of its effectiveness and impact on health outcomes.

Contention

Notable points of contention may arise around the model of reimbursement and the methodology of implementing group prenatal and well child care specifically through Medicaid managed care organizations. Issues could also surface regarding the adequacy of the study's findings and whether the program effectively addresses the needs of diverse communities across Texas. Additionally, discussions may focus on how the pilot program aligns with existing Medicaid policies and whether this approach could set a precedent for other health care services in Texas. The outcome of the pilot program may also determine future legislative action regarding continued or expanded use of enhanced reimbursements, thus influencing the broader landscape of health care in the state.