1 | 1 | | 89R5566 LRM-F |
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2 | 2 | | By: Perry S.B. No. 1461 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to the administration, authority, and duties of the Health |
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10 | 10 | | and Human Services Commission's office of inspector general. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Section 544.0106, Government Code, as effective |
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13 | 13 | | April 1, 2025, is amended to read as follows: |
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14 | 14 | | Sec. 544.0106. PROCUREMENT OF CONTRACT FOR REVIEW OF |
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15 | 15 | | INVESTIGATIVE FINDINGS BY QUALIFIED EXPERT. Notwithstanding any |
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16 | 16 | | other law, Subtitle D, Title 10, does not apply to the commission's |
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17 | 17 | | procuring of a contract for the services of a qualified expert to |
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18 | 18 | | review investigative findings under Section 544.0104 or 544.0105 to |
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19 | 19 | | the same extent that subtitle does not apply to the obtaining of an |
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20 | 20 | | expert witness under Section 2151.005. [(a) If the commission does |
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21 | 21 | | not receive any responsive bids under Chapter 2155 on a competitive |
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22 | 22 | | solicitation for the services of a qualified expert to review |
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23 | 23 | | investigative findings under Section 544.0104 or 544.0105 and the |
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24 | 24 | | number of contracts to be awarded under this subsection is not |
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25 | 25 | | otherwise limited, the commission may negotiate with and award a |
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26 | 26 | | contract for the services to a qualified expert on the basis of: |
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27 | 27 | | [(1) the contractor's agreement to a set fee, either as |
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28 | 28 | | a range or lump-sum amount; and |
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29 | 29 | | [(2) the contractor's affirmation and the office of |
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30 | 30 | | inspector general's verification that the contractor possesses the |
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31 | 31 | | necessary occupational licenses and experience. |
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32 | 32 | | [(b) Notwithstanding Sections 2155.083 and 2261.051, a |
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33 | 33 | | contract awarded under Subsection (a) is not subject to competitive |
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34 | 34 | | advertising and proposal evaluation requirements.] |
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35 | 35 | | SECTION 2. Subchapter C, Chapter 544, Government Code, as |
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36 | 36 | | effective April 1, 2025, is amended by adding Section 544.0115 to |
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37 | 37 | | read as follows: |
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38 | 38 | | Sec. 544.0115. PERMITTED DISCLOSURE OF CERTAIN |
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39 | 39 | | INFORMATION. For purposes of performing the duties of the office of |
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40 | 40 | | inspector general under this subchapter, the office may disclose |
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41 | 41 | | information obtained in the course of conducting the office's |
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42 | 42 | | administrative oversight activities to: |
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43 | 43 | | (1) a federal, state, or local governmental entity, |
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44 | 44 | | including: |
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45 | 45 | | (A) a federal agency or an agency of this state or |
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46 | 46 | | another state; |
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47 | 47 | | (B) the criminal, civil, or administrative |
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48 | 48 | | department, division, bureau, or other entity with enforcement or |
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49 | 49 | | prosecutorial authority of: |
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50 | 50 | | (i) this state; |
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51 | 51 | | (ii) the United States; |
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52 | 52 | | (iii) another state; or |
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53 | 53 | | (iv) a local governmental entity of this |
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54 | 54 | | state or another state; and |
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55 | 55 | | (C) a political subdivision of this state; or |
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56 | 56 | | (2) a person authorized by the office to receive the |
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57 | 57 | | information. |
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58 | 58 | | SECTION 3. Section 544.0153(b), Government Code, as |
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59 | 59 | | effective April 1, 2025, is amended to read as follows: |
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60 | 60 | | (b) Except as required by federal law, to [To] determine a |
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61 | 61 | | health care professional's eligibility to participate as a Medicaid |
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62 | 62 | | provider, the office of inspector general may not conduct a |
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63 | 63 | | fingerprint-based criminal history record information check of a |
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64 | 64 | | health care professional who the office has confirmed under |
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65 | 65 | | Subsection (a) is licensed and in good standing. This subsection |
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66 | 66 | | does not prohibit the office from conducting a criminal history |
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67 | 67 | | record information check of a provider that is required or |
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68 | 68 | | appropriate for other reasons, including for conducting an |
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69 | 69 | | investigation of fraud, waste, or abuse. |
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70 | 70 | | SECTION 4. Section 544.0202(b), Government Code, as |
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71 | 71 | | effective April 1, 2025, is amended to read as follows: |
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72 | 72 | | (b) The commission shall: |
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73 | 73 | | (1) aggressively publicize successful fraud |
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74 | 74 | | prosecutions and fraud-prevention programs through all available |
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75 | 75 | | means, including the use of statewide press releases; and |
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76 | 76 | | (2) ensure that the commission or a health and human |
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77 | 77 | | services agency maintains and promotes an appropriate |
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78 | 78 | | communications system [a toll-free telephone hotline] for |
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79 | 79 | | reporting suspected fraud in programs the commission or a health |
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80 | 80 | | and human services agency administers. |
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81 | 81 | | SECTION 5. The following provisions of the Government Code |
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82 | 82 | | are repealed: |
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83 | 83 | | (1) Section 544.0201; and |
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84 | 84 | | (2) Section 544.0252(a). |
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85 | 85 | | SECTION 6. If before implementing any provision of this Act |
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86 | 86 | | a state agency determines that a waiver or authorization from a |
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87 | 87 | | federal agency is necessary for implementation of that provision, |
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88 | 88 | | the agency affected by the provision shall request the waiver or |
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89 | 89 | | authorization and may delay implementing that provision until the |
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90 | 90 | | waiver or authorization is granted. |
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91 | 91 | | SECTION 7. This Act takes effect September 1, 2025. |
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