1 | 1 | | 88R10190 BDP-F |
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2 | 2 | | By: Howard, Garcia, Thompson of Harris, H.B. No. 4366 |
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3 | 3 | | et al. |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | A BILL TO BE ENTITLED |
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7 | 7 | | AN ACT |
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8 | 8 | | relating to the eligibility for and provision of benefits under |
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9 | 9 | | Medicaid or the child health plan program for certain individuals |
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10 | 10 | | committed, placed, or detained in certain facilities and settings. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. The heading to Section 531.02418, Government |
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13 | 13 | | Code, is amended to read as follows: |
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14 | 14 | | Sec. 531.02418. MEDICAID AND CHILD HEALTH PLAN PROGRAM |
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15 | 15 | | ELIGIBILITY DETERMINATIONS AND BENEFITS FOR CERTAIN INDIVIDUALS; |
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16 | 16 | | ANNUAL REPORT. |
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17 | 17 | | SECTION 2. Section 531.02418, Government Code, is amended |
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18 | 18 | | by amending Subsections (a) and (d) and adding Subsection (f) to |
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19 | 19 | | read as follows: |
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20 | 20 | | (a) Notwithstanding any other law and to the extent |
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21 | 21 | | permitted by federal law, the [The] commission shall enter into a |
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22 | 22 | | memorandum of understanding with the Texas Juvenile Justice |
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23 | 23 | | Department and the Department of Family and Protective Services to |
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24 | 24 | | ensure that each individual who is committed, placed, or detained |
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25 | 25 | | under Title 3, Family Code, is assessed by the commission for |
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26 | 26 | | eligibility for Medicaid, including the STAR Health managed care |
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27 | 27 | | program, and the child health plan program before that individual's |
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28 | 28 | | release from commitment, placement, or detention. Local juvenile |
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29 | 29 | | probation departments are subject to the requirements of the |
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30 | 30 | | memorandum. |
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31 | 31 | | (d) The memorandum of understanding required by Subsection |
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32 | 32 | | (a) must require [be tailored to achieve the goal of ensuring] that: |
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33 | 33 | | (1) an individual described by Subsection (a) who is |
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34 | 34 | | determined eligible by the commission for coverage under Medicaid, |
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35 | 35 | | including the STAR Health managed care program, or the child health |
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36 | 36 | | plan program: |
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37 | 37 | | (A) be [is] enrolled in the program for which the |
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38 | 38 | | individual is eligible; and |
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39 | 39 | | (B) [may] begin receiving services, including |
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40 | 40 | | telehealth and telemedicine medical services, through the program |
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41 | 41 | | as soon as possible after the eligibility determination is made; |
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42 | 42 | | (2) the Texas Juvenile Justice Department, using |
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43 | 43 | | available resources, assist the individual with accessing |
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44 | 44 | | telehealth services or telemedicine medical services, including |
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45 | 45 | | mental health and behavioral health services, through the program |
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46 | 46 | | in which the individual is enrolled; and |
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47 | 47 | | (3) the Texas Juvenile Justice Department, in |
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48 | 48 | | coordination with the commission and Department of Family and |
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49 | 49 | | Protective Services: |
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50 | 50 | | (A) create a release plan for an individual |
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51 | 51 | | described by Subsection (a) who is enrolled in Medicaid, including |
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52 | 52 | | under the STAR Health managed care program, or the child health plan |
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53 | 53 | | program to ensure the individual continues [, if possible, to |
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54 | 54 | | achieve the goal of ensuring that the individual may begin] |
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55 | 55 | | receiving [those] services under the applicable program on the date |
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56 | 56 | | of the individual's release from placement, detention, or |
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57 | 57 | | commitment; or |
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58 | 58 | | (B) if the department is unable to create a |
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59 | 59 | | release plan required under Paragraph (A), include documentation in |
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60 | 60 | | the individual's release order that describes: |
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61 | 61 | | (i) the reasons the department was unable |
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62 | 62 | | to create the plan; and |
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63 | 63 | | (ii) the anticipated impact on the |
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64 | 64 | | individual's continuity of care under the program. |
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65 | 65 | | (f) Not later than September 1 of each year, the Texas |
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66 | 66 | | Juvenile Justice Department shall prepare and submit a report to |
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67 | 67 | | the governor, lieutenant governor, and speaker of the house of |
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68 | 68 | | representatives that contains the following information: |
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69 | 69 | | (1) the number of individuals described by Subsection |
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70 | 70 | | (a) who were: |
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71 | 71 | | (A) determined eligible by the commission for |
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72 | 72 | | coverage under Medicaid or the child health plan program; and |
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73 | 73 | | (B) enrolled in a program under this section; |
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74 | 74 | | (2) the number of individuals described by Subdivision |
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75 | 75 | | (1)(B) who received services under the program in which the |
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76 | 76 | | individual was enrolled while the individual was committed, placed, |
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77 | 77 | | or detained under Title 3, Family Code; and |
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78 | 78 | | (3) if an individual described by Subdivision (1)(B) |
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79 | 79 | | did not receive services under the program in which the individual |
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80 | 80 | | was enrolled, an explanation regarding why the individual did not |
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81 | 81 | | receive services under the program. |
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82 | 82 | | SECTION 3. Section 32.0264, Human Resources Code, is |
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83 | 83 | | repealed. |
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84 | 84 | | SECTION 4. As soon as practicable after the effective date |
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85 | 85 | | of this Act, the Health and Human Services Commission, the Texas |
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86 | 86 | | Juvenile Justice Department, and the Department of Family and |
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87 | 87 | | Protective Services shall update the memorandum of understanding |
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88 | 88 | | required by Section 531.02418, Government Code, as amended by this |
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89 | 89 | | Act. |
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90 | 90 | | SECTION 5. If before implementing any provision of this Act |
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91 | 91 | | a state agency determines that a waiver or authorization from a |
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92 | 92 | | federal agency is necessary for implementation of that provision, |
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93 | 93 | | the agency affected by the provision shall request the waiver or |
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94 | 94 | | authorization and may delay implementing that provision until the |
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95 | 95 | | waiver or authorization is granted. |
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96 | 96 | | SECTION 6. This Act takes effect immediately if it receives |
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97 | 97 | | a vote of two-thirds of all the members elected to each house, as |
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98 | 98 | | provided by Section 39, Article III, Texas Constitution. If this |
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99 | 99 | | Act does not receive the vote necessary for immediate effect, this |
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100 | 100 | | Act takes effect September 1, 2023. |
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