Bill Text: TX HB5020 | 2023-2024 | 88th Legislature | Introduced

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Bill Title: Relating to the establishment of the Autism Medicaid Services Program Advisory Committee to evaluate the provision of applied behavior analysis services under Medicaid.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2023-03-23 - Referred to Human Services [HB5020 Detail]

Download: Texas-2023-HB5020-Introduced.html

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88R8797 JG-F
By: Gamez H.B. No. 5020

A BILL TO BE ENTITLED
AN ACT
relating to the establishment of the Autism Medicaid Services
Program Advisory Committee to evaluate the provision of applied
behavior analysis services under Medicaid.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter A, Chapter 531, Government Code, is
amended by adding Section 531.0122 to read as follows:
Sec. 531.0122. AUTISM MEDICAID SERVICES PROGRAM ADVISORY
COMMITTEE. (a) In this section:
(1) "Advisory committee" means the Autism Medicaid
Services Program Advisory Committee established under this
section.
(2) "Program" means the autism Medicaid services
program administered by the commission under Medicaid to provide
applied behavior analysis services to recipients with autism
spectrum disorder.
(b) In accordance with Section 531.012, the executive
commissioner by rule shall establish the Autism Medicaid Services
Program Advisory Committee to evaluate and advise the commission on
issues and concerns relating to the provision of applied behavior
analysis services under the program.
(c) The executive commissioner shall appoint to the
advisory committee members with expertise in the provision of
applied behavior analysis services, including:
(1) commission staff;
(2) commission contractors;
(3) Medicaid managed care organization
representatives;
(4) applied behavioral analysis providers
participating in the program that represent:
(A) various geographic areas of this state; and
(B) a variety of operational sizes;
(5) relevant advocates and stakeholders;
(6) recipients of applied behavior analysis services
or the parents or legal guardians of those recipients; and
(7) any other persons the executive commissioner
determines appropriate.
(d) The executive commissioner shall select from among the
advisory committee members a presiding officer.
(e) Not later than November 1 of each year, the advisory
committee shall prepare and submit to the executive commissioner,
the commission's executive council established under Section
531.0051, the governor, and the legislature an electronic written
report that includes:
(1) the total program budget for the preceding fiscal
year;
(2) the total amount of money spent to provide
reimbursements under the program for the provision of applied
behavior analysis services during:
(A) the preceding fiscal year under the program
to provide reimbursements for the provision of applied behavior
analysis services; and
(B) the period beginning on the date the program
was established to the 30th day preceding the date the report is
prepared;
(3) the total number of recipients who received
applied behavior analysis services under the program during:
(A) the preceding fiscal year; and
(B) the period beginning on the date the program
was established to the 30th day preceding the date the report is
prepared;
(4) the total number of projected recipients who will
receive applied behavior analysis services under the program for
the current fiscal year;
(5) the minutes of each advisory committee meeting
conducted during the preceding fiscal year, including any written
public comments and transcribed oral public comments; and
(6) an analysis of barriers to:
(A) the program's efficiency;
(B) access to applied behavior analysis services
under the program; and
(C) program network adequacy, including
recommendations for improving program efficiency.
(f) Beginning December 1, 2028, the commission shall:
(1) annually evaluate whether there is a continuing
need for the advisory committee; and
(2) make a recommendation regarding the committee's
continuation to the legislature and provide the recommendation with
the next annual report required under Subsection (e).
SECTION 2. (a) Not later than March 1, 2024, the executive
commissioner of the Health and Human Services Commission shall
appoint members to the Autism Medicaid Services Program Advisory
Committee as required by Section 531.0122, Government Code, as
added by this Act.
(b) Notwithstanding Section 531.0122, Government Code, as
added by this Act, the Autism Medicaid Services Program Advisory
Committee established under that section is not required to submit
the first report under that section until November 1, 2024.
SECTION 3. This Act takes effect September 1, 2023.