| 1 | 1 | | 89R5361 AND-D |
|---|
| 2 | 2 | | By: Guillen H.B. No. 2994 |
|---|
| 3 | 3 | | |
|---|
| 4 | 4 | | |
|---|
| 5 | 5 | | |
|---|
| 6 | 6 | | |
|---|
| 7 | 7 | | A BILL TO BE ENTITLED |
|---|
| 8 | 8 | | AN ACT |
|---|
| 9 | 9 | | relating to a report by the Health and Human Services Commission on |
|---|
| 10 | 10 | | Medicaid eligibility determinations. |
|---|
| 11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|---|
| 12 | 12 | | SECTION 1. (a) In this section, "commission" means the |
|---|
| 13 | 13 | | Health and Human Services Commission. |
|---|
| 14 | 14 | | (b) The commission shall prepare a written report on the |
|---|
| 15 | 15 | | time frames within which Medicaid eligibility determinations were |
|---|
| 16 | 16 | | made based on Medicaid applications submitted to the commission |
|---|
| 17 | 17 | | each state fiscal year beginning with the state fiscal year ending |
|---|
| 18 | 18 | | August 31, 2018. The report must include: |
|---|
| 19 | 19 | | (1) for each state fiscal year covered by the report: |
|---|
| 20 | 20 | | (A) the total number of Medicaid applications |
|---|
| 21 | 21 | | submitted to the commission; |
|---|
| 22 | 22 | | (B) the total number of Medicaid applications the |
|---|
| 23 | 23 | | commission approved in accordance with the time frames described by |
|---|
| 24 | 24 | | 1 T.A.C. Section 358.530(a); |
|---|
| 25 | 25 | | (C) the total number of Medicaid applications the |
|---|
| 26 | 26 | | commission denied in accordance with the time frames described by 1 |
|---|
| 27 | 27 | | T.A.C. Section 358.530(a) and the reason for each denial; |
|---|
| 28 | 28 | | (D) the total number of Medicaid applications the |
|---|
| 29 | 29 | | commission approved in a time frame that exceeded the time frames |
|---|
| 30 | 30 | | described by 1 T.A.C. Section 358.530(a); |
|---|
| 31 | 31 | | (E) the total number of Medicaid applications the |
|---|
| 32 | 32 | | commission denied because the eligibility determination was not |
|---|
| 33 | 33 | | made in accordance with the time frames described by 1 T.A.C. |
|---|
| 34 | 34 | | Section 358.530(a); |
|---|
| 35 | 35 | | (F) the average number of days between the date a |
|---|
| 36 | 36 | | Medicaid application was submitted to the commission and the date |
|---|
| 37 | 37 | | the application was approved or denied; and |
|---|
| 38 | 38 | | (G) the median number of days between the date a |
|---|
| 39 | 39 | | Medicaid application was submitted to the commission and the date |
|---|
| 40 | 40 | | the application was approved or denied; |
|---|
| 41 | 41 | | (2) the total number of Medicaid applications |
|---|
| 42 | 42 | | submitted to the commission that are pending on the date the report |
|---|
| 43 | 43 | | required by this subsection is prepared and, for each of those |
|---|
| 44 | 44 | | applications, the number of days that have elapsed between the date |
|---|
| 45 | 45 | | the application was submitted and the date the report is prepared; |
|---|
| 46 | 46 | | and |
|---|
| 47 | 47 | | (3) the highest number of days that elapsed between |
|---|
| 48 | 48 | | the date a Medicaid application was submitted to the commission in |
|---|
| 49 | 49 | | any state fiscal year and the date the application was approved or |
|---|
| 50 | 50 | | denied. |
|---|
| 51 | 51 | | (c) Not later than December 1, 2026, the commission shall |
|---|
| 52 | 52 | | prepare and submit to the governor, lieutenant governor, speaker of |
|---|
| 53 | 53 | | the house of representatives, and legislature the written report |
|---|
| 54 | 54 | | the commission prepares under Subsection (b) of this section. |
|---|
| 55 | 55 | | SECTION 2. This Act expires December 31, 2026. |
|---|
| 56 | 56 | | SECTION 3. This Act takes effect September 1, 2025. |
|---|