Bill Text: TX SB1921 | 2021-2022 | 87th Legislature | Enrolled

Texas Senate Bill 1921 (Prior Session Legislation)

TX State Legislature page for SB1921

Bill Title: Relating to Medicaid reimbursement for the provision of certain behavioral health and physical health services.

Sponsorship: Bipartisan Bill

Status: (Passed) 2021-06-18 - Effective on . . . . . . . . . . . . . . . September 1, 2022 [SB1921 Detail]

Download: Texas-2021-SB1921-Enrolled.html



	S.B. No. 1921




	AN ACT
	relating to Medicaid reimbursement for the provision of certain
	behavioral health and physical health services.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1. Subchapter B, Chapter 32, Human Resources Code,
	is amended by adding Section 32.0246 to read as follows:
	Sec. 32.0246. MEDICAL ASSISTANCE REIMBURSEMENT FOR CERTAIN
	BEHAVIORAL HEALTH AND PHYSICAL HEALTH SERVICES. (a) In this
	section, "behavioral health services" has the meaning assigned by
	Section 533.00255(a), Government Code, and includes targeted case
	management and psychiatric rehabilitation services.
	(b) The commission shall provide to a public or private
	provider of behavioral health services medical assistance
	reimbursement through a fee-for-service delivery model for
	behavioral health or physical health services provided to a
	recipient before that recipient's enrollment with and receipt of
	medical assistance services through a managed care organization
	under Chapter 533, Government Code.
	(c) The commission shall ensure that a public or private
	provider of behavioral health services who is reimbursed under
	Subsection (b) through a fee-for-service delivery model is provided
	medical assistance reimbursement through a managed care model for
	behavioral health or physical health services provided to a
	recipient after that recipient's enrollment with and receipt of
	medical assistance services through a managed care organization
	under Chapter 533, Government Code.
	SECTION 2. Section 32.024, Human Resources Code, is amended
	by adding Subsection (ll) to read as follows:
	(ll) The commission shall provide medical assistance
	reimbursement to an authorized wound care education and training
	services provider and establish outcome measures for evaluating the
	physical health care outcomes of recipients who receive wound care
	education and training services from an authorized wound care
	education and training services provider.
	SECTION 3. Subchapter B, Chapter 32, Human Resources Code,
	is amended by adding Section 32.0285 to read as follows:
	Sec. 32.0285. CALCULATION OF MEDICAL EDUCATION ADD-ON FOR
	REIMBURSEMENT OF TEACHING HOSPITALS THAT PROVIDE BEHAVIORAL HEALTH
	AND PHYSICAL HEALTH SERVICES. The commission shall, on request
	from a teaching hospital that provides behavioral health and
	physical health services, update on a biannual basis the education
	adjustment factor used to calculate the medical education add-on
	using the most current Medicare education adjustment factor data
	available under 42 C.F.R. Section 412.105 at the time the
	commission makes the update.
	SECTION 4. Section 32.0285, Human Resources Code, as added
	by this Act, applies only to a request from a teaching hospital that
	is made on or after September 1, 2022.
	SECTION 5. The Health and Human Services Commission is
	required to implement a provision of this Act only if the
	legislature appropriates money to the commission specifically for
	that purpose. If the legislature does not appropriate money
	specifically for that purpose, the commission may, but is not
	required to, implement a provision of this Act using other
	appropriations that are available for that purpose.
	SECTION 6. 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 7. This Act takes effect September 1, 2022.





	______________________________	______________________________
	President of the Senate	Speaker of the House

	I hereby certify that S.B. No. 1921 passed the Senate on
	May 4, 2021, by the following vote: Yeas 30, Nays 0; and that the
	Senate concurred in House amendment on May 30, 2021, by the
	following vote: Yeas 31, Nays 0.


	______________________________
	Secretary of the Senate

	I hereby certify that S.B. No. 1921 passed the House, with
	amendment, on May 26, 2021, by the following vote: Yeas 96,
	Nays 50, one present not voting.


	______________________________
	Chief Clerk of the House



	Approved:

	______________________________
	Date


	______________________________
	Governor