Bill Text: TX SB670 | 2019-2020 | 86th Legislature | Engrossed
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating to telemedicine and telehealth services.
Spectrum: Moderate Partisan Bill (Republican 6-1)
Status: (Passed) 2019-06-14 - Effective on 9/1/19 [SB670 Detail]
Download: Texas-2019-SB670-Engrossed.html
Bill Title: Relating to telemedicine and telehealth services.
Spectrum: Moderate Partisan Bill (Republican 6-1)
Status: (Passed) 2019-06-14 - Effective on 9/1/19 [SB670 Detail]
Download: Texas-2019-SB670-Engrossed.html
By: Buckingham | S.B. No. 670 |
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relating to Medicaid telemedicine and telehealth services. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 531.0216, Government Code, is amended by | ||
amending Subsection (b) and adding Subsection (g) to read as | ||
follows: | ||
(b) In developing the system, the executive commissioner by | ||
rule shall: | ||
(1) review programs and pilot projects in other states | ||
to determine the most effective method for reimbursement; | ||
(2) establish billing codes and a fee schedule for | ||
services; | ||
(3) [ |
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telemedicine medical services providers, telehealth services | ||
providers, and home telemonitoring services providers; and | ||
(4) [ |
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telemedicine medical services, telehealth services, and home | ||
telemonitoring services eligible for reimbursement. | ||
(g) The commission shall ensure a managed care organization | ||
that contracts with the commission under Chapter 533 to provide | ||
health care services to Medicaid recipients does not deny | ||
reimbursement for a covered health care service or procedure | ||
delivered by a health care provider with whom the managed care | ||
organization contracts to a recipient as a telemedicine medical | ||
service or a telehealth service solely because the covered service | ||
or procedure is not provided through an in-person consultation. In | ||
complying with state and federal requirements to provide access to | ||
medically necessary services under the Medicaid managed care | ||
program, a managed care organization determining whether | ||
reimbursement for a telemedicine medical service or telehealth | ||
service is appropriate shall continue to consider other factors, | ||
including whether reimbursement is cost-effective and whether the | ||
provision of the service is clinically effective. | ||
SECTION 2. Section 531.0217(c-4), Government Code, is | ||
amended to read as follows: | ||
(c-4) The commission shall ensure that Medicaid | ||
reimbursement is provided to a physician for a telemedicine medical | ||
service provided by the physician, even if the physician is not the | ||
patient's primary care physician or provider, if: | ||
(1) the physician is an authorized health care | ||
provider under Medicaid; | ||
(2) the patient is a child who receives the service in | ||
a primary or secondary school-based setting; and | ||
(3) the parent or legal guardian of the patient | ||
provides consent before the service is provided[ |
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SECTION 3. The following provisions of the Government Code | ||
are repealed: | ||
(1) Section 531.0216(e); | ||
(2) Section 531.02161; | ||
(3) Sections 531.0217(c-2) and (c-3); and | ||
(4) Section 531.02173. | ||
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, 2019. |