1 | 1 | | 88R8798 JG-D |
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2 | 2 | | By: LaMantia S.B. No. 2178 |
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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 establishment of the Autism Medicaid Services |
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8 | 8 | | Program Advisory Council to evaluate the provision of applied |
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9 | 9 | | behavior analysis services under Medicaid. |
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10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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11 | 11 | | SECTION 1. Subtitle E, Title 2, Health and Safety Code, is |
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12 | 12 | | amended by adding Chapter 111 to read as follows: |
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13 | 13 | | CHAPTER 111. AUTISM MEDICAID SERVICES PROGRAM ADVISORY COUNCIL |
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14 | 14 | | Sec. 111.001. DEFINITIONS. In this chapter: |
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15 | 15 | | (1) "Advisory council" means the Autism Medicaid |
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16 | 16 | | Services Program Advisory Council established under this chapter. |
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17 | 17 | | (2) "Medicaid managed care organization" has the |
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18 | 18 | | meaning assigned by Section 531.001, Government Code. |
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19 | 19 | | (3) "Program" means the autism Medicaid services |
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20 | 20 | | program administered by the commission under Medicaid to provide |
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21 | 21 | | applied behavior analysis services to recipients with autism |
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22 | 22 | | spectrum disorder. |
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23 | 23 | | (4) "Recipient" has the meaning assigned by Section |
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24 | 24 | | 533.001, Government Code. |
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25 | 25 | | Sec. 111.002. PURPOSE. The purpose of the Autism Medicaid |
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26 | 26 | | Services Program Advisory Council is to: |
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27 | 27 | | (1) create a structured forum by convening relevant |
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28 | 28 | | stakeholders to evaluate and advise the commission on issues and |
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29 | 29 | | concerns relating to the provision of applied behavior analysis |
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30 | 30 | | services under the program; |
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31 | 31 | | (2) provide a structured forum through which |
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32 | 32 | | recipients receiving services under the program and the public are |
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33 | 33 | | able to provide input on the provision of applied behavior analysis |
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34 | 34 | | services under the program; and |
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35 | 35 | | (3) assess and provide reports on the program in |
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36 | 36 | | accordance with this chapter. |
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37 | 37 | | Sec. 111.003. ESTABLISHMENT OF ADVISORY COUNCIL. The |
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38 | 38 | | advisory council is established to advise the commission and |
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39 | 39 | | legislature on the provision of applied behavior analysis services |
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40 | 40 | | to recipients under the program, including the implementation and |
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41 | 41 | | efficacy of the program. |
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42 | 42 | | Sec. 111.004. MEMBERSHIP. (a) The advisory council is |
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43 | 43 | | composed of the following members appointed by the executive |
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44 | 44 | | commissioner: |
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45 | 45 | | (1) at least one commission employee who provides |
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46 | 46 | | technical support for the program; |
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47 | 47 | | (2) at least one Texas Medicaid and Healthcare |
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48 | 48 | | Partnership employee who provides technical support for the |
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49 | 49 | | program; |
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50 | 50 | | (3) at least three representatives of Medicaid managed |
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51 | 51 | | care organizations participating in the program; |
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52 | 52 | | (4) at least four representatives of licensed behavior |
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53 | 53 | | analysts participating in the program that represent a variety of |
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54 | 54 | | operational sizes; |
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55 | 55 | | (5) at least one representative of a licensed |
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56 | 56 | | diagnosing provider of applied behavior analysis participating in |
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57 | 57 | | the program; |
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58 | 58 | | (6) at least one representative of an advocacy and |
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59 | 59 | | support group for individuals that represents persons with autism |
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60 | 60 | | spectrum disorder in this state; |
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61 | 61 | | (7) at least one member who is a parent of a child who |
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62 | 62 | | has been diagnosed with autism spectrum disorder and qualifies for |
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63 | 63 | | participation in or receives services under the program; and |
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64 | 64 | | (8) any other person the executive commissioner |
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65 | 65 | | determines appropriate who has appropriate subject matter |
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66 | 66 | | expertise in autism, the program, or another relevant area. |
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67 | 67 | | (b) Each advisory council member must be a resident of this |
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68 | 68 | | state. |
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69 | 69 | | (c) The executive commissioner shall select from among the |
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70 | 70 | | advisory council members a presiding officer. In the event of a tie |
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71 | 71 | | on a matter voted on by the advisory council, the presiding officer |
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72 | 72 | | shall cast the deciding vote. |
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73 | 73 | | (d) An advisory council member is not entitled to |
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74 | 74 | | compensation or reimbursement for expenses incurred in performing |
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75 | 75 | | advisory council duties. |
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76 | 76 | | Sec. 111.005. TERMS AND VACANCY. (a) Advisory council |
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77 | 77 | | members serve two-year terms. |
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78 | 78 | | (b) The executive commissioner shall fill a vacancy on the |
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79 | 79 | | advisory council in the same manner as the original appointment for |
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80 | 80 | | the remainder of the unexpired term. |
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81 | 81 | | (c) An advisory council member may be reappointed to serve |
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82 | 82 | | on the advisory council. |
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83 | 83 | | Sec. 111.006. MEETINGS. (a) The advisory council shall |
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84 | 84 | | meet at times and locations as determined by the presiding officer |
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85 | 85 | | or a majority of the advisory council members. |
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86 | 86 | | (b) Notwithstanding Chapter 551, Government Code, or any |
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87 | 87 | | other law, the advisory council may meet by telephone conference |
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88 | 88 | | call, videoconference, or another similar telecommunication |
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89 | 89 | | method. A meeting held by telephone conference call, |
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90 | 90 | | videoconference, or another similar telecommunication method is |
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91 | 91 | | subject to the requirements of Sections 551.125(c)-(f), Government |
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92 | 92 | | Code. |
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93 | 93 | | (c) A majority of the advisory council members constitutes a |
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94 | 94 | | quorum. |
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95 | 95 | | Sec. 111.007. ANNUAL REPORT. (a) Not later than November 1 |
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96 | 96 | | of each year, the advisory council shall prepare and submit to the |
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97 | 97 | | executive commissioner, the commission's executive council |
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98 | 98 | | established under Section 531.0051, Government Code, the governor, |
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99 | 99 | | and the legislature an electronic written report that includes: |
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100 | 100 | | (1) the total program budget for the preceding fiscal |
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101 | 101 | | year; |
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102 | 102 | | (2) the total amount of money spent to provide |
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103 | 103 | | reimbursements under the program for the provision of applied |
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104 | 104 | | behavior analysis services during: |
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105 | 105 | | (A) the preceding fiscal year under the program |
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106 | 106 | | to provide reimbursements for the provision of applied behavior |
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107 | 107 | | analysis services; and |
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108 | 108 | | (B) the period beginning on the date the program |
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109 | 109 | | was established to the 30th day preceding the date the report is |
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110 | 110 | | prepared; |
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111 | 111 | | (3) the total number of recipients who received |
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112 | 112 | | applied behavior analysis services under the program during: |
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113 | 113 | | (A) the preceding fiscal year; and |
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114 | 114 | | (B) the period beginning on the date the program |
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115 | 115 | | was established to the 30th day preceding the date the report is |
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116 | 116 | | prepared; |
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117 | 117 | | (4) the total number of projected recipients who will |
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118 | 118 | | receive applied behavior analysis services under the program for |
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119 | 119 | | the current fiscal year; |
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120 | 120 | | (5) the minutes of each advisory council meeting |
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121 | 121 | | conducted during the preceding fiscal year, including any written |
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122 | 122 | | public comments and transcribed oral public comments; and |
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123 | 123 | | (6) an analysis of barriers to: |
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124 | 124 | | (A) the program's efficiency; |
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125 | 125 | | (B) access to applied behavior analysis services |
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126 | 126 | | under the program; and |
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127 | 127 | | (C) program network adequacy, including |
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128 | 128 | | recommendations for improving program efficiency. |
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129 | 129 | | (b) Notwithstanding any other law, this section, including |
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130 | 130 | | any action taken under this section to develop or disseminate |
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131 | 131 | | information or materials, does not create a civil or administrative |
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132 | 132 | | cause of action or a civil or criminal liability and does not create |
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133 | 133 | | a standard of care, obligation, or duty that provides the basis for |
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134 | 134 | | a cause of action. |
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135 | 135 | | Sec. 111.008. APPLICABILITY OF OTHER LAW. Chapter 2110, |
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136 | 136 | | Government Code, does not apply to the advisory council. |
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137 | 137 | | Sec. 111.009. SUNSET PROVISION. The advisory council is |
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138 | 138 | | subject to Chapter 325, Government Code (Texas Sunset Act). Unless |
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139 | 139 | | continued in existence as provided by that chapter, the advisory |
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140 | 140 | | council is abolished and this chapter expires September 1, 2029. |
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141 | 141 | | SECTION 2. (a) Not later than March 1, 2024, the executive |
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142 | 142 | | commissioner of the Health and Human Services Commission shall |
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143 | 143 | | appoint members to the Autism Medicaid Services Program Advisory |
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144 | 144 | | Council as required by Chapter 111, Health and Safety Code, as added |
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145 | 145 | | by this Act. |
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146 | 146 | | (b) Notwithstanding Chapter 111, Health and Safety Code, as |
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147 | 147 | | added by this Act, the Autism Medicaid Services Program Advisory |
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148 | 148 | | Council established under that chapter is not required to submit |
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149 | 149 | | the first report under that chapter until November 1, 2024. |
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150 | 150 | | SECTION 3. This Act takes effect immediately if it receives |
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151 | 151 | | a vote of two-thirds of all the members elected to each house, as |
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152 | 152 | | provided by Section 39, Article III, Texas Constitution. If this |
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153 | 153 | | Act does not receive the vote necessary for immediate effect, this |
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154 | 154 | | Act takes effect September 1, 2023. |
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