By: Manuel (Senate Sponsor - Alvarado) H.B. No. 3265
(In the Senate - Received from the House May 8, 2023;
May 9, 2023, read first time and referred to Committee on Health &
Human Services; May 18, 2023, reported favorably by the following
vote: Yeas 7, Nays 1; May 18, 2023, sent to printer.)
Click here to see the committee vote
A BILL TO BE ENTITLED
AN ACT
relating to the submission of certain reports by the Health and
Human Services Commission.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 531.06021(b), Government Code, is
amended to read as follows:
(b) The [Not later than the 30th day after the last day of
each state fiscal quarter, the] commission shall submit to the
governor, the lieutenant governor, the speaker of the house of
representatives, the Legislative Budget Board, and each standing
legislative committee with primary jurisdiction over Medicaid a
semiannual report containing, for the preceding six-month period
[most recent state fiscal quarter], the following information and
data related to access to care for Medicaid recipients receiving
benefits under the medically dependent children (MDCP) waiver
program:
(1) enrollment in the Medicaid buy-in for children
program implemented under Section 531.02444;
(2) [requests relating to interest list placements
under Section 531.0601;
[(3)] use of the Medicaid escalation help line
established under Section 533.00253[, if the help line was
operational during the applicable state fiscal quarter];
(3) [(4)] use of, requests for, and outcomes of the
external medical review procedure established under Section
531.024164; and
(4) [(5)] complaints relating to the medically
dependent children (MDCP) waiver program, categorized by
disposition.
SECTION 2. Section 536.003(g), Government Code, is amended
to read as follows:
(g) The commission shall include aggregate, nonidentifying
data collected using the quality-based outcome measure described by
Subsection (f) in the biennial [annual] report required by Section
536.008 and may include the data in any other report required by
this chapter. The commission shall determine the appropriateness
of including the quality-based outcome measure described by
Subsection (f) in the quality-based payments and payment systems
developed under Sections 536.004 and 536.051.
SECTION 3. The heading to Section 536.008, Government Code,
is amended to read as follows:
Sec. 536.008. BIENNIAL [ANNUAL] REPORT.
SECTION 4. Section 536.008(a), Government Code, is amended
to read as follows:
(a) The commission shall submit to the legislature and make
available to the public a biennial [an annual] report regarding:
(1) the quality-based outcome and process measures
developed under Section 536.003, including measures based on each
potentially preventable event; and
(2) the progress of the implementation of
quality-based payment systems and other payment initiatives
implemented under this chapter.
SECTION 5. Sections 32.155(d) and (e), Health and Safety
Code, are amended to read as follows:
(d) The commission shall prepare and submit to the
legislature and make available to the public a biennial [an annual]
report that summarizes:
(1) the commission's progress in developing or
enhancing initiatives under this section; and
(2) each managed care organization's progress in
incorporating the required initiatives in the organization's
managed care plans.
(e) The commission shall [may] submit the report required
under Subsection (d) with the report required under Section
536.008, Government Code.
SECTION 6. Section 255.005, Health and Safety Code, is
amended to read as follows:
Sec. 255.005. BIENNIAL REPORT. (a) The Health and Human
Services Commission [department] shall assess and evaluate the
effectiveness of the quality assurance early warning system and
shall report its findings biennially [annually] to the governor,
the lieutenant governor, and the speaker of the house of
representatives.
(b) The Health and Human Services Commission shall submit
the report required under this section with the report required
under Section 536.008, Government Code.
SECTION 7. 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 8. This Act takes effect September 1, 2023.
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