Bill Text: TX SB58 | 2013-2014 | 83rd Legislature | Engrossed
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating to delivery of and reporting on mental health, behavioral health, substance abuse, and certain other services.
Spectrum: Slight Partisan Bill (Republican 2-1)
Status: (Passed) 2013-06-14 - Effective on 9/1/13 [SB58 Detail]
Download: Texas-2013-SB58-Engrossed.html
Bill Title: Relating to delivery of and reporting on mental health, behavioral health, substance abuse, and certain other services.
Spectrum: Slight Partisan Bill (Republican 2-1)
Status: (Passed) 2013-06-14 - Effective on 9/1/13 [SB58 Detail]
Download: Texas-2013-SB58-Engrossed.html
By: Nelson | S.B. No. 58 |
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relating to the integration of behavioral health and physical | ||
health services into the Medicaid managed care program. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter A, Chapter 533, Government Code, is | ||
amended by adding Section 533.00255 to read as follows: | ||
Sec. 533.00255. BEHAVIORAL HEALTH AND PHYSICAL HEALTH | ||
SERVICES NETWORK. (a) In this section, "behavioral health | ||
services" means mental health and substance abuse disorder | ||
services, other than those provided through the NorthSTAR | ||
demonstration project. | ||
(b) The commission shall, to the greatest extent possible, | ||
integrate into the Medicaid managed care program implemented under | ||
this chapter the following services for Medicaid-eligible persons: | ||
(1) behavioral health services, including targeted | ||
case management and psychiatric rehabilitation services; and | ||
(2) physical health services. | ||
(c) A managed care organization that contracts with the | ||
commission under this chapter shall develop a network of public and | ||
private providers of behavioral health services and ensure | ||
consumers with serious mental illness have access to a | ||
comprehensive array of services. | ||
(d) In implementing this section, the commission shall | ||
ensure that: | ||
(1) an appropriate assessment tool is used to | ||
authorize services; | ||
(2) providers are well-qualified and able to provide | ||
an appropriate array of services; | ||
(3) appropriate performance and quality outcomes are | ||
measured; | ||
(4) two health home pilot programs are established in | ||
two health service areas, representing two distinct regions of the | ||
state, for persons who are diagnosed with: | ||
(A) a serious mental illness; and | ||
(B) at least one other chronic health condition; | ||
(5) a health home established under a pilot program | ||
under Subdivision (4) complies with the principles for | ||
patient-centered medical homes described in Section 533.0029; and | ||
(6) all behavioral health services provided under this | ||
section are based on an approach to treatment where the expected | ||
outcome of treatment is recovery. | ||
(e) The commission and the Department of State Health | ||
Services shall establish a Behavioral Health Integration Advisory | ||
Committee: | ||
(1) whose membership must include: | ||
(A) individuals with behavioral health | ||
conditions who are current or former recipients of publicly funded | ||
behavioral health services; and | ||
(B) representatives of managed care | ||
organizations that have expertise in offering behavioral health | ||
services; and | ||
(2) that shall: | ||
(A) meet at least quarterly to address the | ||
planning and development needs of the behavioral health services | ||
network established under this section; | ||
(B) seek input from the behavioral health | ||
community on the implementation of this section; and | ||
(C) issue formal recommendations to the | ||
commission regarding the implementation of this section. | ||
(f) The commission shall provide administrative support to | ||
facilitate the duties of the advisory committee established under | ||
Subsection (e). This subsection and Subsection (e) expire | ||
September 1, 2017. | ||
(g) The commission shall, if the commission determines that | ||
it is cost-effective and beneficial to recipients, include a peer | ||
specialist as a benefit to recipients or as a provider type. | ||
(h) To the extent of any conflict between this section and | ||
any other law relating to behavioral health services, this section | ||
prevails. | ||
(i) The executive commissioner shall adopt rules necessary | ||
to implement this section. | ||
SECTION 2. Not later than December 1, 2013, the Health and | ||
Human Services Commission shall establish the Behavioral Health | ||
Integration Advisory Committee required by Section 533.00255, | ||
Government Code, as added by this Act. | ||
SECTION 3. Not later than September 1, 2014, the Health and | ||
Human Services Commission shall complete the integration of | ||
behavioral health and physical health services required by Section | ||
533.00255, Government Code, as added by this Act. | ||
SECTION 4. 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 5. This Act takes effect September 1, 2013. |