Texas 2025 - 89th Regular

Texas House Bill HB4666 Compare Versions

Version 1 (Old)

Version 2 (New)

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1	1		By: Manuel H.B. No. 4666
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4	6		A BILL TO BE ENTITLED
5	7		AN ACT
6	8		relating to streamlining the deadlines for the Health and Human
7	9		Services Commission to submit certain required reports to the
8	10		Legislature.
9	11		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	12		SECTION 1. Section 532.0453, Government Code, is amended to
11	13		read as follows:
12	14		Sec. 532.0453. CONTINUED IMPLEMENTATION OF CERTAIN
13	15		INTERVENTIONS AND BEST PRACTICES BY PROVIDERS; [BIANNUAL] REPORT
14	16		EVERY EVEN-NUMBERED YEAR. (a) The commission shall encourage
15	17		Medicaid providers to continue implementing effective
16	18		interventions and best practices associated with improvements in
17	19		the health outcomes of Medicaid recipients that were developed and
18	20		achieved under the Delivery System Reform Incentive Payment (DSRIP)
19	21		program previously operated under the Texas Health Care
20	22		Transformation and Quality Improvement Program waiver issued under
21	23		Section 1115 of the federal Social Security Act (42 U.S.C. Section
22	24		1315), through:
23	25		(1) existing provider incentive programs and the
24	26		creation of new provider incentive programs;
25	27		(2) the terms included in contracts with Medicaid
26	28		managed care organizations;
27	29		(3) implementation of alternative payment models; or
28	30		(4) adoption of other cost-effective measures.
29	31		(b) The commission shall [biannually] prepare and submit a
30	32		report in every even-numbered year to the legislature that contains
31	33		a summary of the commission's efforts under this section and
32	34		Section 531.085(b).
33	35		SECTION 2. Section 542.0054, Government Code, is amended to
34	36		read as follows:
35	37		Sec. 542.0054. [ANNUAL] REPORT EVERY EVEN-NUMERED YEAR ON
36	38		IMPLEMENTATION. (a) Not later than September 30 of each
37	39		even-numbered year, the commission, in consultation and
38	40		collaboration with the advisory committee, shall prepare and submit
39	41		a report to the legislature that must include:
40	42		(1) an assessment of the implementation of the system
41	43		required by this chapter, including appropriate information
42	44		regarding the provision of acute care services and long-term
43	45		services and supports to individuals with an intellectual or
44	46		developmental disability under Medicaid as described by this
45	47		chapter;
46	48		(2) recommendations regarding implementation of and
47	49		improvements to the system redesign, including recommendations
48	50		regarding appropriate statutory changes to facilitate the
49	51		implementation; and
50	52		(3) an assessment of the effect of the system on the
51	53		following:
52	54		(A) access to long-term services and supports;
53	55		(B) the quality of acute care services and
54	56		long-term services and supports;
55	57		(C) meaningful outcomes for Medicaid recipients
56	58		using person-centered planning, individualized budgeting, and
57	59		self-determination, including a person's inclusion in the
58	60		community;
59	61		(D) the integration of service coordination of
60	62		acute care services and long-term services and supports;
61	63		(E) the efficiency and use of funding;
62	64		(F) the placement of individuals in housing that
63	65		is the least restrictive setting appropriate to an individual's
64	66		needs;
65	67		(G) employment assistance and customized,
66	68		integrated, competitive employment options; and
67	69		(H) the number and types of fair hearing and
68	70		appeals processes in accordance with applicable federal law.
69	71		(b) This section expires on the second anniversary of the
70	72		date the commission completes implementation of the transition
71	73		required under Sections 542.0201, 542.0202, and 542.0203 [Section
72	74		534.202].
73	75		SECTION 3. The heading of Section 543A.008, Government
74	76		Code, is amended to read as follows: [ANNUAL] REPORT EVERY
75	77		EVEN-NUMBERED YEAR.
76	78		SECTION 4. Section 543A.008(a), Government Code, is amended
77	79		to read as follows:
78	80		Sec. 543A.008. [ANNUAL] REPORT EVERY EVEN-NUMBERED
79	81		YEAR. (a) The commission shall submit to the legislature and make
80	82		available to the public in every even-numbered year [an annual]
81	83		report regarding:
82	84		(1) the quality-based outcome and process measures
83	85		developed under Sections 543A.0002 and 543A.0003 [Section
84	86		536.003], including measures based on each potentially preventable
85	87		event; and
86	88		(2) the progress of the implementation of
87	89		quality-based payment systems under Section 543A.0004 and other
88	90		payment initiatives implemented under this chapter.
89	91		SECTION 5. If before implementing any provision of this Act
90	92		a state agency determines that a waiver or authorization from a
91	93		federal agency is necessary for implementation of that provision,
92	94		the agency affected by the provision shall request the waiver or
93	95		authorization and may delay implementing that provision until the
94	96		waiver or authorization is granted.
95	97		SECTION 6. The Health and Human Services Commission is
96	98		required to implement a provision of this Act only if the
97	99		legislature appropriates money specifically for that purpose. If
98	100		the legislature does not appropriate money specifically for that
99	101		purpose, the commission may, but is not required to, implement a
100	102		provision of this Act using other appropriations available for that
101	103		purpose.
102	104		SECTION 7. This act takes effect immediately if it receives
103	105		a vote of two-thirds of all the members elected to each house, as
104	106		provided by Section 39, Article III, Texas Constitution. If this
105	107		Act does not receive the vote necessary for immediate effect, this
106	108		Act takes effect September 1, 2025.