89R12606 SCF-D
By: Parker S.B. No. 2061
A BILL TO BE ENTITLED
AN ACT
relating to prior authorization or precertification for the repair
of complex rehabilitation technology equipment under Medicaid.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
is amended by adding Section 32.031401 to read as follows:
Sec. 32.031401. REIMBURSEMENT FOR REPAIR OF COMPLEX
REHABILITATION TECHNOLOGY EQUIPMENT. (a) In this section,
"complex rehabilitation technology equipment" has the meaning
assigned by Section 532.0455, Government Code.
(b) The executive commissioner by rule shall establish a
reimbursement methodology for the repair of complex rehabilitation
technology equipment prescribed to a recipient under the medical
assistance program.
(c) The commission shall provide medical assistance
reimbursement for the repair of complex rehabilitation technology
equipment without requiring a medical assistance recipient or
health care provider to obtain prior authorization or
precertification for the repair.
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 September 1, 2025.