Bill Text: TX SB1819 | 2017-2018 | 85th Legislature | Introduced
Bill Title: Relating to the provision of a nursing facility quality-based payment incentives program and a program to increase direct care staff and wages under Medicaid.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2017-03-27 - Left pending in committee [SB1819 Detail]
Download: Texas-2017-SB1819-Introduced.html
85R8764 KFF-F | ||
By: Burton | S.B. No. 1819 |
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relating to the provision of a nursing facility quality-based | ||
payment incentives program and a program to increase direct care | ||
staff and wages under Medicaid. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Sections 32.028(g) and (i), Human Resources | ||
Code, are amended to read as follows: | ||
(g) Subject to Subsection (i), the executive commissioner | ||
shall ensure that the rules governing the determination of rates | ||
paid for nursing facility services improve the quality of care by: | ||
(1) providing a program offering nursing facility | ||
quality-based payment incentives and a program for increasing | ||
direct care staff and direct care wages and benefits[ |
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(2) if appropriated funds are available after money is | ||
allocated for payment of incentive-based rates under Subdivision | ||
(1), providing incentives that incorporate the use of a quality of | ||
care index, a customer satisfaction index, and a resolved | ||
complaints index developed by the commission. | ||
(i) The executive commissioner shall ensure that rules | ||
governing an [ |
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(g)(1): | ||
(1) provide that participation in the program by a | ||
nursing facility is voluntary; | ||
(2) do not impose on a nursing facility not | ||
participating in the program a minimum spending requirement for | ||
direct care staff wages and benefits; | ||
(3) do not set a base rate for a nursing facility | ||
participating in the program that is more than the base rate for a | ||
nursing facility not participating in the program; and | ||
(4) establish a funding process to provide incentives | ||
for increasing direct care staff and direct care wages and benefits | ||
in accordance with appropriations provided. | ||
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 immediately if it receives | ||
a vote of two-thirds of all the members elected to each house, as | ||
provided by Section 39, Article III, Texas Constitution. If this | ||
Act does not receive the vote necessary for immediate effect, this | ||
Act takes effect September 1, 2017. |