Bill Text: TX SB916 | 2019-2020 | 86th Legislature | Enrolled
Bill Title: Relating to supportive palliative care.
Spectrum: Bipartisan Bill
Status: (Passed) 2019-06-10 - Effective immediately [SB916 Detail]
Download: Texas-2019-SB916-Enrolled.html
S.B. No. 916 |
|
||
relating to supportive palliative care. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subtitle G, Title 2, Health and Safety Code, is | ||
amended by adding Chapter 142A to read as follows: | ||
CHAPTER 142A. SUPPORTIVE PALLIATIVE CARE SERVICES | ||
Sec. 142A.0001. DEFINITION. In this chapter, "supportive | ||
palliative care" means physician-directed interdisciplinary | ||
patient- and family-centered care provided to a patient with a | ||
serious illness without regard to the patient's age or terminal | ||
prognosis that: | ||
(1) may be provided concurrently with methods of | ||
treatment or therapies that seek to cure or minimize the effects of | ||
the patient's illness; and | ||
(2) seeks to optimize the quality of life for a patient | ||
with a life-threatening or life-limiting illness and the patient's | ||
family through various methods, including methods that seek to: | ||
(A) anticipate, prevent, and treat the patient's | ||
total suffering related to the patient's physical, emotional, | ||
social, and spiritual condition; | ||
(B) address the physical, intellectual, | ||
emotional, cultural, social, and spiritual needs of the patient; | ||
and | ||
(C) facilitate for the patient regarding | ||
treatment options, education, informed consent, and expression of | ||
desires. | ||
Sec. 142A.0002. REFERENCE IN OTHER LAW. Notwithstanding | ||
any other law, a reference in this code or other law to palliative | ||
care means supportive palliative care. | ||
Sec. 142A.0003. STUDY. (a) The commission shall conduct a | ||
study to assess potential improvements to a patient's quality of | ||
care and health outcomes and to anticipated cost savings to this | ||
state from supporting the use of or providing Medicaid | ||
reimbursement to certain Medicaid recipients for supportive | ||
palliative care. The study must include an evaluation and | ||
comparison of other states that provide Medicaid reimbursement for | ||
supportive palliative care. | ||
(b) The Palliative Care Interdisciplinary Advisory Council | ||
established under Chapter 118 shall provide to the commission | ||
recommendations on the structure of the study, including | ||
recommendations on identifying specific populations of Medicaid | ||
recipients, variables, and outcomes to measure in the study. | ||
(c) The commission may collaborate with and solicit and | ||
accept gifts, grants, and donations from any public or private | ||
source for the purpose of funding the study. | ||
(d) Not later than September 1, 2022, the commission shall | ||
provide to the Palliative Care Interdisciplinary Advisory Council | ||
the findings of the study. Not later than October 1, 2022, the | ||
advisory council shall include the findings of the study in the | ||
report required under Section 118.010. | ||
(e) This section expires September 1, 2023. | ||
SECTION 2. Section 142.001(15), Health and Safety Code, is | ||
amended to read as follows: | ||
(15) "Hospice services" means services, including | ||
services provided by unlicensed personnel under the delegation of a | ||
registered nurse or physical therapist, provided to a client or a | ||
client's family as part of a coordinated program consistent with | ||
the standards and rules adopted under this chapter. These services | ||
include [ |
||
services for terminally ill patients [ |
||
that: | ||
(A) are available 24 hours a day, seven days a | ||
week, during the last stages of illness, during death, and during | ||
bereavement; | ||
(B) are provided by a medically directed | ||
interdisciplinary team; and | ||
(C) may be provided in a home, nursing home, | ||
residential unit, or inpatient unit according to need. These | ||
services do not include inpatient care normally provided in a | ||
licensed hospital to a terminally ill person who has not elected to | ||
be a hospice client. | ||
SECTION 3. Section 142.001(20), Health and Safety Code, is | ||
repealed. | ||
SECTION 4. The Health and Human Services Commission shall | ||
conduct the study required under Section 142A.0003, Health and | ||
Safety Code, as added by this Act, only if the commission receives a | ||
gift, grant, or donation or the legislature appropriates money | ||
specifically for that purpose. If the commission does not receive a | ||
gift, grant, or donation and the legislature does not appropriate | ||
money specifically for that purpose, the commission may, but is not | ||
required to, conduct the study using other money available for that | ||
purpose. | ||
SECTION 5. 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, 2019. | ||
______________________________ | ______________________________ | |
President of the Senate | Speaker of the House | |
I hereby certify that S.B. No. 916 passed the Senate on | ||
April 30, 2019, by the following vote: Yeas 30, Nays 1; | ||
May 23, 2019, Senate refused to concur in House amendment and | ||
requested appointment of Conference Committee; May 23, 2019, House | ||
granted request of the Senate; May 26, 2019, Senate adopted | ||
Conference Committee Report by the following vote: Yeas 31, | ||
Nays 0. | ||
______________________________ | ||
Secretary of the Senate | ||
I hereby certify that S.B. No. 916 passed the House, with | ||
amendment, on May 17, 2019, by the following vote: Yeas 137, | ||
Nays 9, one present not voting; May 23, 2019, House granted request | ||
of the Senate for appointment of Conference Committee; | ||
May 26, 2019, House adopted Conference Committee Report by the | ||
following vote: Yeas 128, Nays 16, two present not voting. | ||
______________________________ | ||
Chief Clerk of the House | ||
Approved: | ||
______________________________ | ||
Date | ||
______________________________ | ||
Governor |