| 1 | 1 | | 87R1420 JG-D |
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| 2 | 2 | | By: Blanco S.B. No. 1915 |
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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 provision of recovery community organization |
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| 8 | 8 | | peer-to-peer services 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 531, Government Code, is |
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| 11 | 11 | | amended by adding Section 531.09991 to read as follows: |
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| 12 | 12 | | Sec. 531.09991. RECOVERY COMMUNITY ORGANIZATIONS. (a) In |
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| 13 | 13 | | this section, "recovery community organization" means a nonprofit |
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| 14 | 14 | | organization that: |
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| 15 | 15 | | (1) mobilizes resources inside and outside of a local |
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| 16 | 16 | | community to increase the prevalence and quality of long-term |
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| 17 | 17 | | recovery for individuals with a substance use disorder and their |
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| 18 | 18 | | family members; and |
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| 19 | 19 | | (2) is at least partly governed by individuals |
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| 20 | 20 | | recovering from a substance use disorder or their family members. |
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| 21 | 21 | | (b) The executive commissioner, with input from the work |
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| 22 | 22 | | group established under Subsection (c), shall adopt rules to |
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| 23 | 23 | | provide Medicaid reimbursement for peer-to-peer services provided |
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| 24 | 24 | | by recovery community organizations, which must include: |
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| 25 | 25 | | (1) rules that establish training requirements for |
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| 26 | 26 | | recovery community organization peer-to-peer service providers; |
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| 27 | 27 | | (2) rules that establish certification and |
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| 28 | 28 | | supervision requirements for recovery community organizations; |
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| 29 | 29 | | (3) rules that define the scope of peer-to-peer |
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| 30 | 30 | | services that recovery community organizations may provide; |
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| 31 | 31 | | (4) rules that distinguish peer-to-peer services |
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| 32 | 32 | | provided by recovery community organizations from other services |
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| 33 | 33 | | that a person must hold a license to provide; and |
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| 34 | 34 | | (5) any other rules necessary to protect the health |
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| 35 | 35 | | and safety of individuals receiving services provided by recovery |
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| 36 | 36 | | community organizations. |
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| 37 | 37 | | (c) The executive commissioner shall establish a work group |
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| 38 | 38 | | to provide input for the adoption of rules under Subsection (b). |
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| 39 | 39 | | The work group is composed of at least 9 but not more than 13 members |
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| 40 | 40 | | with expertise in substance use disorder recovery or recovery |
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| 41 | 41 | | community organizations. The executive commissioner shall ensure |
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| 42 | 42 | | that at least half of the work group members are from rural |
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| 43 | 43 | | communities in this state. |
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| 44 | 44 | | (d) The executive commissioner shall appoint one work group |
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| 45 | 45 | | member to serve as presiding officer. |
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| 46 | 46 | | (e) The work group is automatically abolished on the |
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| 47 | 47 | | adoption of rules under Subsection (b). |
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| 48 | 48 | | (f) Subsections (c), (d), and (e) and this subsection expire |
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| 49 | 49 | | September 1, 2023. |
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| 50 | 50 | | SECTION 2. Effective January 1, 2023, Section 32.024, Human |
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| 51 | 51 | | Resources Code, is amended by adding Subsection (pp) to read as |
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| 52 | 52 | | follows: |
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| 53 | 53 | | (pp) The commission in its rules and standards governing the |
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| 54 | 54 | | scope of services provided under the medical assistance program |
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| 55 | 55 | | shall include peer-to-peer services provided by recovery community |
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| 56 | 56 | | organizations as defined by Section 531.09991, Government Code, to |
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| 57 | 57 | | the extent permitted by federal law. |
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| 58 | 58 | | SECTION 3. Not later than December 31, 2021, the executive |
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| 59 | 59 | | commissioner of the Health and Human Services Commission shall |
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| 60 | 60 | | establish the work group required by Section 531.09991, Government |
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| 61 | 61 | | Code, as added by this Act. |
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| 62 | 62 | | SECTION 4. Not later than December 31, 2022, the executive |
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| 63 | 63 | | commissioner of the Health and Human Services Commission shall |
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| 64 | 64 | | adopt the rules required by Section 531.09991, Government Code, as |
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| 65 | 65 | | added by this Act. |
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| 66 | 66 | | SECTION 5. If before implementing any provision of this Act |
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| 67 | 67 | | a state agency determines that a waiver or authorization from a |
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| 68 | 68 | | federal agency is necessary for implementation of that provision, |
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| 69 | 69 | | the agency affected by the provision shall request the waiver or |
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| 70 | 70 | | authorization and may delay implementing that provision until the |
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| 71 | 71 | | waiver or authorization is granted. |
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| 72 | 72 | | SECTION 6. Except as otherwise provided by this Act, this |
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| 73 | 73 | | Act takes effect September 1, 2021. |
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