Texas 2023 - 88th Regular

Texas Senate Bill SB1695

Voted on by Senate
 
Out of House Committee
 
Voted on by House
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.

Impact

By institutionalizing the Case Assistance Affiliate Program, SB1695 modifies the current landscape of Medicaid services, focusing on improving the efficiency of benefit case management. The program would facilitate managed care organizations and dental maintenance organizations in providing comprehensive application and renewal assistance via virtual case assistance websites. This initiative is expected to streamline the interaction of Medicaid recipients with the healthcare system, potentially leading to improved health outcomes as a direct result of greater access to resources and assistance.

Summary

SB1695, introduced by Senator Blanco, aims to establish a Case Assistance Affiliate Program in Texas to provide essential services to Medicaid recipients and enrollees of the child health plan. The bill intends to codify the existing temporary program, allowing managed care organizations to assist families in navigating Medicaid eligibility rules, ultimately promoting clarity and accessibility in the benefits application process. As mentioned in the testimonies, the establishment of a permanent program is deemed crucial as the public health emergency winds down, which has previously intensified the need for support in eligibility evaluations.

Sentiment

The discussions surrounding SB1695 reflect a division in sentiment among stakeholders. Proponents, such as representatives from the Texas Association of Health Plans, expressed strong support for the bill, arguing that it would formalize essential services and enhance the support provided to Medicaid families. Conversely, some advocates, like Rebecca Galinsky from Protect Texas Fragile Kids, raised concerns that the bill might duplicate existing services and create confusion, thereby undermining the intended assistance rather than reinforcing it. This dichotomy underscores the importance of clarity in service provision and the potential for unintended consequences in healthcare legislation.

Contention

Notable points of contention include the fear of overlapping services with existing programs, as indicated by concerns voiced during the committee hearings. Some opponents argue that the bill, as currently worded, might not effectively address the unique needs of specific populations and may inadvertently lead to inefficiencies. The framing of the bill raises critical questions about the adequacy of support and representation for vulnerable families and how best to ensure that the program delivers meaningful assistance without exacerbating current challenges in Medicaid management.

Texas Constitutional Statutes Affected

Government Code

  • Chapter 531. Health And Human Services Commission
    • Section: New Section

Companion Bills

TX HB3571

Identical Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.

Previously Filed As

TX HB3571

Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.

TX SB999

Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.

TX HB3981

Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.

TX SB23

Relating to the administration of and efficiency, cost-saving, fraud prevention, and funding measures for certain health and human services and health benefits programs, including the medical assistance and child health plan programs.

TX HB2962

Relating to the administration and funding of and eligibility for the child health plan, medical assistance, and other programs.

TX SB7

Relating to strategies for and improvements in quality of health care provided through and care management in the child health plan and medical assistance programs designed to achieve healthy outcomes and efficiency.

TX HB1798

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.

TX SB663

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.

TX SB7

Relating to strategies for and improvements in quality of health care and care management provided through health care facilities and through the child health plan and medical assistance programs designed to improve health outcomes.

TX HB3734

Relating to the administration and funding of and eligibility for the child health plan, medical assistance, and other programs; authorizing a fee.

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