1 | 1 | | 88R8485 BDP-F |
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2 | 2 | | By: Blanco S.B. No. 1127 |
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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 Medicaid application form and communication with |
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8 | 8 | | Medicaid recipients. |
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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. Section 533.008, Government Code, is amended by |
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11 | 11 | | amending Subsection (c) and adding Subsection (d) to read as |
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12 | 12 | | follows: |
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13 | 13 | | (c) The executive commissioner shall adopt and publish |
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14 | 14 | | guidelines for Medicaid managed care organizations regarding how |
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15 | 15 | | organizations may communicate by telephone, text message, or e-mail |
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16 | 16 | | with recipients enrolled in the organization's managed care plan |
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17 | 17 | | using the contact information provided in a recipient's application |
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18 | 18 | | for Medicaid benefits under Section 32.025(g)(2), Human Resources |
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19 | 19 | | Code, including updated information provided to the organization in |
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20 | 20 | | accordance with Section 32.025(h), Human Resources Code. |
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21 | 21 | | (d) In adopting the guidelines under Subsection (c) for a |
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22 | 22 | | recipient enrolled in a Medicaid managed care organization's |
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23 | 23 | | managed care plan who provides to the organization the recipient's |
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24 | 24 | | contact information through any method other than the recipient's |
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25 | 25 | | Medicaid application, the commission: |
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26 | 26 | | (1) must allow the organization to communicate with |
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27 | 27 | | the recipient through any electronic means, including telephone, |
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28 | 28 | | text message, and e-mail, regarding eligibility, enrollment, and |
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29 | 29 | | other health care matters; and |
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30 | 30 | | (2) may not require the organization to submit the |
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31 | 31 | | recipient's contact preference information to the commission. |
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32 | 32 | | SECTION 2. Section 32.025(g), Human Resources Code, is |
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33 | 33 | | amended to read as follows: |
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34 | 34 | | (g) The application form, including a renewal form, adopted |
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35 | 35 | | under this section must include: |
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36 | 36 | | (1) for an applicant who is pregnant, a question |
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37 | 37 | | regarding whether the pregnancy is the woman's first gestational |
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38 | 38 | | pregnancy; |
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39 | 39 | | (2) for all applicants, a question regarding the |
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40 | 40 | | applicant's preferences for being contacted by a managed care |
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41 | 41 | | organization or health plan provider [that provides the applicant |
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42 | 42 | | with the option to be contacted] by telephone, text message, or |
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43 | 43 | | e-mail about eligibility, enrollment, and other health care |
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44 | 44 | | matters, including reminders for appointments and information |
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45 | 45 | | about immunizations or well check visits; and |
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46 | 46 | | (3) language that: |
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47 | 47 | | (A) notifies the applicant that, if determined |
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48 | 48 | | eligible for benefits, all preferred contact methods listed on the |
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49 | 49 | | application and renewal forms will be shared with the applicant's |
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50 | 50 | | managed care organization or health plan provider; |
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51 | 51 | | (B) notifies [allows] the applicant that the |
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52 | 52 | | applicant may opt out of [to consent to] being contacted by |
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53 | 53 | | telephone, text message, or e-mail [through the preferred contact |
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54 | 54 | | methods] by notifying the applicant's managed care organization or |
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55 | 55 | | health plan provider; and |
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56 | 56 | | (C) explains the security risks of electronic |
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57 | 57 | | communication. |
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58 | 58 | | SECTION 3. Not later than January 1, 2024, the executive |
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59 | 59 | | commissioner of the Health and Human Services Commission shall |
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60 | 60 | | adopt revised communication guidelines for Medicaid managed care |
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61 | 61 | | organizations that conform to the requirements of Section 533.008, |
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62 | 62 | | Government Code, as amended by this Act, and a revised application |
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63 | 63 | | form for medical assistance benefits that conforms to the |
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64 | 64 | | requirements of Section 32.025(g), Human Resources Code, as amended |
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65 | 65 | | by this Act. |
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66 | 66 | | SECTION 4. 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 5. This Act takes effect September 1, 2023. |
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