Texas 2025 - 89th Regular

Texas Senate Bill SB2628 Compare Versions

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

Old	New	Differences
1	1	89R14175 JG-D
2	2	By: Blanco S.B. No. 2628
3	3
4	4
5	5
6	6
7	7	A BILL TO BE ENTITLED
8	8	AN ACT
9	9	relating to the provision and evaluation of Medicaid reimbursement
10	10	for dental services provided to certain Medicaid recipients.
11	11	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
12	12	SECTION 1. Section 32.054, Human Resources Code, is amended
13	13	by adding Subsections (g) and (h) to read as follows:
14	14	(g) In addition to dental services already covered under the
15	15	medical assistance program, the commission shall provide medical
16	16	assistance reimbursement for recipients who are 21 years of age or
17	17	older, including recipients with a disability, for dental services
18	18	needed for pain relief, infections, restoration of teeth, and
19	19	maintenance of dental health, including:
20	20	(1) preventative services; and
21	21	(2) therapeutic services for dental disease that, if
22	22	left untreated, may become acute dental problems or may cause
23	23	irreversible damage to the teeth or supporting structures.
24	24	(h) Notwithstanding Subsection (g), the commission may not
25	25	provide medical assistance reimbursement for the provision of
26	26	dental services under that subsection if, based on the data
27	27	evaluated under Section 32.0545, the Legislative Budget Board finds
28	28	that the provision of medical assistance reimbursement for those
29	29	services resulted in an increase in overall spending under the
30	30	medical assistance program.
31	31	SECTION 2. Subchapter B, Chapter 32, Human Resources Code,
32	32	is amended by adding Section 32.0545 to read as follows:
33	33	Sec. 32.0545. EVALUATION OF REIMBURSEMENT FOR CERTAIN
34	34	DENTAL SERVICES. (a) The commission shall:
35	35	(1) analyze data related to the provision of medical
36	36	assistance reimbursement for dental services provided to
37	37	recipients under Section 32.054(g); and
38	38	(2) provide to the Legislative Budget Board the data
39	39	described by Subdivision (1) in the form and manner the board
40	40	requires.
41	41	(b) The data analyzed by the commission and provided to the
42	42	Legislative Budget Board under Subsection (a) must:
43	43	(1) relate to three consecutive years, beginning with
44	44	the year immediately preceding the year in which medical assistance
45	45	reimbursement for the provision of dental services under Section
46	46	32.054(g) is initially provided; and
47	47	(2) include at least the following:
48	48	(A) the number of recipients who received those
49	49	dental services; and
50	50	(B) the type of dental services for which medical
51	51	assistance reimbursement was provided.
52	52	(c) The commission shall ensure the analysis under
53	53	Subsection (a) includes:
54	54	(1) appropriate demographic categories, including
55	55	recipient age, disability, and income; and
56	56	(2) the average cost per recipient for providing
57	57	dental services under the medical assistance program.
58	58	(d) Using the data the commission provides under Subsection
59	59	(a), the Legislative Budget Board shall evaluate cost and
60	60	utilization trends to determine whether providing medical
61	61	assistance reimbursement for the provision of dental services to
62	62	recipients under Section 32.054(g) resulted in an increase in
63	63	overall spending on the provision of dental services under the
64	64	medical assistance program.
65	65	(e) Not later than February 1, 2029, the Legislative Budget
66	66	Board shall:
67	67	(1) prepare and publish on the board's Internet
68	68	website a written report of its evaluation under Subsection (d);
69	69	and
70	70	(2) publish a summary of its findings, including a
71	71	specific finding regarding whether providing medical assistance
72	72	reimbursement for the provision of dental services to recipients
73	73	under Section 32.054(g) resulted in an increase in overall spending
74	74	on the provision of dental services under the medical assistance
75	75	program.
76	76	(f) The Legislative Budget Board shall provide to the
77	77	commission a draft of the report described by Subsection (e)(1) not
78	78	later than the 30th day before the date the board publishes the
79	79	report on the board's Internet website.
80	80	(g) If the Legislative Budget Board finds that:
81	81	(1) providing medical assistance reimbursement for
82	82	the provision of dental services under Section 32.054(g) resulted
83	83	in an increase in overall spending on the provision of dental
84	84	services under the medical assistance program:
85	85	(A) the commission shall immediately discontinue
86	86	providing reimbursement for those services; and
87	87	(B) Sections 32.054(g) and (h) and this section
88	88	expire; or
89	89	(2) providing medical assistance reimbursement for
90	90	the provision of dental services under Section 32.054(g) did not
91	91	result in an increase in overall spending on the provision of dental
92	92	services under the medical assistance program, Section 32.054(h)
93	93	and this section expire.
94	94	SECTION 3. If before implementing any provision of this Act
95	95	a state agency determines that a waiver or authorization from a
96	96	federal agency is necessary for implementation of that provision,
97	97	the agency affected by the provision shall request the waiver or
98	98	authorization and may delay implementing that provision until the
99	99	waiver or authorization is granted.
100	100	SECTION 4. This Act takes effect September 1, 2025.