Texas 2025 - 89th Regular

Texas House Bill HB2924 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	89R2986 KKR-D
2	2	By: Simmons H.B. No. 2924
3	3
4	4
5	5
6	6
7	7	A BILL TO BE ENTITLED
8	8	AN ACT
9	9	relating to Medicaid reimbursement for certain costs incurred while
10	10	a chronically ill Medicaid recipient who is a child receives
11	11	hospital care.
12	12	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
13	13	SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
14	14	is amended by adding Section 32.0318 to read as follows:
15	15	Sec. 32.0318. REIMBURSEMENT FOR CERTAIN COSTS RELATED TO
16	16	HOSPITAL CARE FOR CHRONICALLY ILL CHILDREN. (a) In this section:
17	17	(1) "Hospital" means a hospital licensed under Chapter
18	18	241, Health and Safety Code.
19	19	(2) "Medicaid managed care organization" has the
20	20	meaning assigned by Section 521.0001, Government Code.
21	21	(3) "Recipient" means a recipient of medical
22	22	assistance regardless of whether that assistance is provided
23	23	through a fee-for-service or managed care model or through another
24	24	payment model or arrangement.
25	25	(b) Subject to the requirements of this subsection, the
26	26	commission shall ensure that medical assistance reimbursement is
27	27	provided for the costs of food purchased from and parking at a
28	28	hospital at which a recipient is hospitalized or otherwise
29	29	receiving health care services. To be eligible for medical
30	30	assistance reimbursement:
31	31	(1) the costs must be incurred and paid during the
32	32	recipient's period of hospitalization or receipt of health care
33	33	services by a parent, guardian, or caretaker of the recipient; and
34	34	(2) the recipient must:
35	35	(A) be younger than 18 years of age;
36	36	(B) have been diagnosed with a chronic illness
37	37	designated by the executive commissioner; and
38	38	(C) be hospitalized or receiving health care
39	39	services at the hospital for that chronic illness.
40	40	(c) The executive commissioner may require that a Medicaid
41	41	managed care organization provide reimbursement under this section
42	42	to a recipient who is enrolled in a Medicaid managed care plan
43	43	offered by the organization.
44	44	(d) The executive commissioner shall adopt rules necessary
45	45	to implement this section, including rules:
46	46	(1) designating the diagnoses considered chronic
47	47	illnesses for purposes of reimbursement under this section; and
48	48	(2) establishing reasonable limits on reimbursement
49	49	amounts.
50	50	SECTION 2. If before implementing any provision of this Act
51	51	a state agency determines that a waiver or authorization from a
52	52	federal agency is necessary for implementation of that provision,
53	53	the agency affected by the provision shall request the waiver or
54	54	authorization and may delay implementing that provision until the
55	55	waiver or authorization is granted.
56	56	SECTION 3. This Act takes effect September 1, 2025.