88R4162 SCP-F
By: Howard H.B. No. 1798
A BILL TO BE ENTITLED
AN ACT
relating to the development of a strategic plan for home and
community-based services provided under Medicaid and the child
health plan program and the establishment of an advisory committee
on home and community-based services.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Chapter 531, Government Code, is amended by
adding Subchapter T to read as follows:
SUBCHAPTER T. HOME AND COMMUNITY-BASED SERVICES
Sec. 531.801. DEFINITIONS. In this subchapter:
(1) "Home and community-based services" means:
(A) personal attendant services;
(B) community attendant services;
(C) primary home care;
(D) private duty nursing services;
(E) in-home respite services; and
(F) home therapy services.
(2) "Home and community support services agency" means
a person licensed under Chapter 142, Health and Safety Code, who
provides for pay or other consideration home health, hospice, or
personal assistance services as those terms are defined by Section
142.001, Health and Safety Code, in a client's residence, an
independent living environment, or another appropriate location.
Sec. 531.802. STRATEGIC PLAN; REPORT. (a) The commission
shall develop and, subject to Subsection (c), implement a strategic
plan to ensure that Medicaid recipients and child health plan
program enrollees in this state have adequate access to home and
community-based services provided by a home and community support
services agency.
(b) The strategic plan must include:
(1) a proposal for developing a rate methodology for
each home and community-based service that will ensure adequate
access to the service;
(2) an assessment of the unmet needs for home and
community-based services of Medicaid recipients and child health
plan program enrollees;
(3) access to care standards specific to each home and
community-based services program under Medicaid and the child
health plan program, which may include standards based on:
(A) the amount of delivered units of service as a
percentage of authorized units of service;
(B) the number of in-network home and community
support services agencies;
(C) the types of services provided;
(D) the geographic areas served;
(E) vacancy rates; and
(F) the capacity to provide services; and
(4) set dates for achieving the goals identified in
the strategic plan.
(b-1) Not later than January 1, 2024, the commission shall
submit the strategic plan developed under Subsection (b) to the
Legislative Budget Board for approval. The board must review and
provide the commission with comments on the plan before determining
whether to approve the plan. This subsection expires September 1,
2025.
(c) The commission may not implement the proposal described
by Subsection (b)(1) until the Legislative Budget Board approves
the strategic plan.
(d) Not later than November 1 of each even-numbered year,
the commission shall submit a report on the commission's
development and implementation of the strategic plan to:
(1) the legislature;
(2) the governor; and
(3) the Legislative Budget Board.
Sec. 531.803. ADVISORY COMMITTEE. (a) In this section,
"advisory committee" means the home and community-based services
advisory committee established under this section.
(b) The commission shall establish the home and
community-based services advisory committee as an advisory
committee or a subcommittee of the medical care advisory committee
established under Section 32.022, Human Resources Code, to:
(1) advise the commission on:
(A) developing a viable long-term payment
methodology for home and community-based services; and
(B) addressing issues relating to home and
community-based services;
(2) develop a sustainable strategy to support home and
community-based services;
(3) make recommendations for cost savings in program
areas, including:
(A) program integrity;
(B) reductions in hospitalizations;
(C) prior authorization of services; and
(D) care coordination efforts; and
(4) review and offer comments on the strategic plan
described by Section 531.802.
(c) The advisory committee is composed of the following
members appointed by the executive commissioner:
(1) one member who is an ex officio nonvoting
representative of the commission; and
(2) an odd number, not to exceed 15, of voting members,
who are representatives of:
(A) at least one Medicaid managed care
organization;
(B) at least one association representing
managed care organizations;
(C) at least one association representing home
and community support services agencies;
(D) at least one association representing
Medicaid recipients in this state;
(E) at least one rural home and community support
services agency providing services to Medicaid recipients;
(F) at least one urban home and community support
services agency providing services to Medicaid recipients;
(G) at least one statewide home and community
support services agency providing services to Medicaid recipients;
(H) at least one person that provides financial
management services;
(I) at least one person that provides electronic
visit verification services; and
(J) another discipline involving expertise in
financing Medicaid home and community-based services.
(d) A member of the advisory committee serves without
compensation.
SECTION 2. As soon as practicable after the effective date
of this Act, the executive commissioner of the Health and Human
Services Commission shall appoint the members of the home and
community-based services advisory committee established under
Subchapter T, Chapter 531, Government Code, as added by this Act.
SECTION 3. This Act takes effect September 1, 2023.