Bill Text: TX HB3634 | 2017-2018 | 85th Legislature | Introduced
Bill Title: Relating to the amendment of the Texas Health Care Transformation and Quality Improvement Program waiver.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2017-04-18 - Left pending in committee [HB3634 Detail]
Download: Texas-2017-HB3634-Introduced.html
By: Bonnen of Galveston | H.B. No. 3634 |
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relating to the amendment of the Texas Health Care Transformation | ||
and Quality Improvement Program waiver. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Chapter 531, Government Code, is amended by | ||
adding Subchapter N-1 to read as follows: | ||
SUBCHAPTER N-1. TEXAS HEALTH CARE TRANSFORMATION AND QUALITY | ||
IMPROVEMENT PROGRAM WAIVER | ||
Sec. 531.521. AMENDMENT OF TEXAS HEALTH CARE TRANSFORMATION | ||
AND QUALITY IMPROVEMENT PROGRAM WAIVER. Notwithstanding any other | ||
law, the commission shall seek to amend the Texas Health Care | ||
Transformation and Quality Improvement Program waiver issued under | ||
Section 1115 of the federal Social Security Act (42 U.S.C. Section | ||
1315) to: | ||
(1) reinstate the eligibility criteria for Medicaid | ||
that existed on December 31, 2013, including by reinstating income | ||
limits and asset test requirements that existed on that date, | ||
eliminating income disregards that have been implemented since that | ||
date, and discontinuing the use of the modified adjusted gross | ||
income (MAGI) income eligibility methodology; | ||
(2) ensure that the eligibility certification period | ||
for Medicaid is six months; | ||
(3) prohibit recipients enrolled in a Medicaid managed | ||
care plan from enrolling in a different Medicaid managed care plan | ||
at any time during the 6-month period after the date of enrollment | ||
in the plan without cause, to the extent not prohibited by federal | ||
law; | ||
(4) reinstate the eligibility criteria for the child | ||
health plan program that existed immediately before the effective | ||
date of Chapter 1353 (H.B. 109), Acts of the 80th Legislature, | ||
Regular Session, 2007, including by reinstating asset test | ||
requirements that existed immediately before that date, | ||
eliminating income disregards that have been implemented since that | ||
date, and discontinuing the use of the modified adjusted gross | ||
income (MAGI) income eligibility methodology; | ||
(5) ensure that the eligibility certification period | ||
for the child health plan program is six months; | ||
(6) require Medicaid recipients and child health plan | ||
program enrollees to participate in a health insurance premium | ||
payment reimbursement program if the employer-sponsored coverage | ||
available to the recipient or enrollee meets benchmarks established | ||
by the commission; | ||
(7) authorize the commission to establish a system in | ||
which employers may pay all or part of the share of a premium | ||
required to be paid by a recipient or enrollee described by | ||
Subdivision (6); | ||
(8) require Medicaid recipients to pay copayments for | ||
services provided under Medicaid to the same extent copayments | ||
for | ||
the same or similar services are required under the child health | ||
plan program; | ||
(9) authorize the imposition of fees on Medicaid | ||
recipients and child health plan program enrollees for missed | ||
health care appointments that are more comparable to those imposed | ||
in the private market; | ||
(10) require adult Medicaid recipients to sign a | ||
personal responsibility agreement similar to the agreement | ||
required for adult recipients of financial assistance benefits | ||
under Section 31.0031, Human Resources Code; | ||
(11) ensure that the commission has broad authority to | ||
evaluate new and innovative payment and service delivery models for | ||
Medicaid by implementing pilot programs to test those models, | ||
including pilot programs to evaluate the direct primary care | ||
payment model, bundled payment models, and the delivery of services | ||
through accountable care organizations, without the need to seek | ||
additional waivers or authorizations for implementation of those | ||
pilot programs; and | ||
(12) operate Medicaid under a block grant funding | ||
system based on population and cost growth trends. | ||
SECTION 2. Chapter 537, Government Code, is repealed. | ||
SECTION 3. Not later than October 1, 2017, the Health and | ||
Human Services Commission shall apply to the federal Centers for | ||
Medicare and Medicaid Services to amend the Texas Health Care | ||
Transformation and Quality Improvement Program waiver issued under | ||
Section 1115 of the federal Social Security Act (42 U.S.C. Section | ||
1315), as required by Subchapter N-1, Government Code, as added by | ||
this Act. | ||
SECTION 4. This Act takes effect September 1, 2017. |