Texas 2023 - 88th Regular

Texas House Bill HB4611

Filed
3/9/23  
Out of House Committee
4/25/23  
Voted on by House
5/2/23  
Out of Senate Committee
5/16/23  
Voted on by Senate
5/17/23  
Governor Action
6/12/23  

Caption

Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.

Impact

The bill is expected to have significant implications on state laws related to health and human services. It integrates many previously separate provisions into a cohesive whole, potentially making it easier for agencies, service providers, and recipients to navigate the legal landscape around Medicaid and social services. By refining existing statutes, the bill aims to strengthen the operational capability of the Health and Human Services Commission and improve service delivery to the state's vulnerable populations, including low-income individuals relying on Medicaid. However, as a broad revision, the bill may also meet with scrutiny regarding how these changes affect existing programs and services.

Summary

House Bill 4611 is a comprehensive measure introduced in the Texas legislature aimed at the nonsubstantive revision of health and human services laws that govern the Health and Human Services Commission, Medicaid, and other related social services. This extensive legislation, which spans 852 pages, is designed to update and integrate provisions from various existing statutes to improve overall functionality and accessibility within Texas's health and human services framework. By restructuring the laws, the bill seeks to streamline operations, enhance clarity, and remove redundancies in the legal framework governing these critical services.

Sentiment

The sentiment surrounding HB 4611 has been largely supportive among legislative members, who derived consensus on the necessity to enhance the efficiency of health and human services administration. However, there have been concerns voiced by some community stakeholders. For example, individuals affected by Medicaid expressed worries about specific provisions, including the potential prioritization of bureaucratic efficiency over patients' more nuanced needs. This illustrates a blend of optimism about improved systems alongside caution regarding the equitable treatment of clients under the revised legal framework.

Contention

One notable point of contention in the discussions around HB 4611 involves the proposed changes to the appointment process for the executive commissioner of the Health and Human Services Commission. Some stakeholders have suggested that this position should be elected rather than appointed by the governor, arguing that an elected official would be more accountable to the citizens they serve. This points to a broader discussion on how changes in oversight and administrative hierarchy might affect the responsiveness of services provided under the state's Medicaid program and other social service initiatives.

Texas Constitutional Statutes Affected

Government Code

  • Chapter 1. General Provisions
    • Section: New Section
  • Chapter 540. Medicaid Managed Care Program
    • Section: New Section
    • Section: New Section
  • Chapter 521. General Provisions
    • Section: New Section
  • Chapter 522. Provisions Applicable To All Health And Human Services Agencies And Certain Other State Entities
    • Section: New Section
  • Chapter 523. Health And Human Services Commission
    • Section: New Section
  • Chapter 524. Authority Over Health And Human Services System
    • Section: New Section
  • Chapter 525. General Powers And Duties Of Commission And Executive Commissioner
    • Section: New Section
  • Chapter 526. Additional Powers And Duties Of Commission And Executive Commissioner
    • Section: New Section
  • Chapter 532. Medicaid Administration And Operation In General
    • Section: New Section
  • Chapter 542. System Redesign For Delivery Of Medicaid Acute Care Services And Long-term Services And Supports To Individuals With An Intellectual Or Developmental Disability
    • Section: New Section
  • Chapter 543. Clinical Initiatives To Improve Medicaid Quality Of Care And Cost-effectiveness
    • Section: New Section
  • Chapter 544. Fraud, Waste, Abuse, And Overcharges Relating To Health And Human Services
    • Section: New Section
  • Chapter 545. Certain Public Assistance Benefits
    • Section: New Section
  • Chapter 546. Long-term Care And Support Options For Individuals With Disabilities And Elderly Individuals
    • Section: New Section
  • Chapter 547. Mental Health And Substance Use Services
    • Section: New Section
  • Chapter 548. Health Care Services Provided Through Tele-connective Means
    • Section: New Section
  • Chapter 549. Provision Of Drugs And Drug Information
    • Section: New Section
  • Chapter 550. Human Services And Other Social Services Provided Through Faith- And Community-based Organizations
    • Section: New Section

Health And Safety Code

  • Chapter 461a. Department Of State Health Services: Chemical Dependency Services And Related Programs
    • Section: New Section
  • Chapter 62. Child Health Plan For Certain Low-income Children
    • Section: New Section
    • Section: New Section
    • Section: New Section
  • Chapter 63. Health Benefits Plan For Certain Children
    • Section: New Section
    • Section: New Section
    • Section: New Section

Human Resources Code

  • Chapter 32. Medical Assistance Program
    • Section: New Section
    • Section: New Section

Estates Code

  • Chapter 114. Transfer On Death Deed
    • Section: 106

Family Code

  • Chapter 53. Proceedings Prior To Judicial Proceedings
    • Section: New Section

Insurance Code

  • Chapter 1369. Benefits Related To Prescription Drugs And Devices And Related Services
    • Section: New Section
    • Section: 052
  • Chapter 1451. Access To Certain Practitioners And Facilities
    • Section: New Section
    • Section: 451
    • Section: 503
  • Chapter 4201. Utilization Review Agents
    • Section: 053
  • Chapter 1367. Coverage Of Children
    • Section: 252
  • Chapter 1660. Electronic Data Exchange
    • Section: 003

Companion Bills

No companion bills found.

Similar Bills

TX SB200

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TX SB7

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TX HB2304

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TX HB4533

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TX HB2721

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TX SB277

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