88R3558 KKR-D
By: Johnson S.B. No. 74
A BILL TO BE ENTITLED
AN ACT
relating to the use of community health workers in Medicaid managed
care.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter A, Chapter 533, Government Code, is
amended by adding Section 533.021 to read as follows:
Sec. 533.021. COMMUNITY HEALTH WORKERS. (a) In this
section, "community health worker" has the meaning assigned by
Section 48.001, Health and Safety Code.
(b) The commission shall allow each Medicaid managed care
organization providing health care services under the STAR Medicaid
managed care program to categorize services provided by a community
health worker as a quality improvement cost, as authorized by
federal law, instead of as an administrative expense.
SECTION 2. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 3. This Act takes effect immediately if it receives
a vote of two-thirds of all the members elected to each house, as
provided by Section 39, Article III, Texas Constitution. If this
Act does not receive the vote necessary for immediate effect, this
Act takes effect September 1, 2023.