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AN ACT
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relating to the advisory committee on Medicaid and child health |
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plan program rate and expenditure disparities between the |
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Texas-Mexico border region and other areas of the state. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subdivision (2), Subsection (a), Section |
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531.0223, Government Code, is amended to read as follows: |
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(2) "Committee" means the advisory committee on |
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Medicaid and child health plan program rate and expenditure |
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[funding] disparities between the Texas-Mexico border region and |
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other areas of the state [in health programs] appointed by the |
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executive commissioner under this section. |
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SECTION 2. Subsections (b) through (e), (o), and (p), |
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Section 531.0223, Government Code, are amended to read as follows: |
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(b) The executive commissioner shall appoint an advisory |
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committee to develop a strategic plan for eliminating the |
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disparities between the Texas-Mexico border region and other areas |
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of the state in: |
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(1) capitation rates under Medicaid managed care and |
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the child health plan program for services provided to persons |
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younger than 19 years of age; |
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(2) fee-for-service per capita expenditures under the |
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Medicaid program and the child health plan program for inpatient |
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and outpatient hospital services for services provided to persons |
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younger than 19 years of age; and |
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(3) total professional services expenditures per |
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Medicaid recipient younger than 19 years of age or per child |
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enrolled in the child health plan program. |
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(c) Periodically the committee shall perform the research |
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necessary to analyze and compare the rates and expenditures |
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described by Subsection (b) and, not later than the date specified |
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by the executive commissioner, produce a report based on the |
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results of that analysis and comparison. |
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(d) The committee shall, as part of the report required by |
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Subsection (c), make recommendations to the executive commissioner |
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for addressing the problems created by disparities documented in |
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the report, including recommendations for allocation of funds. |
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(e) The executive commissioner shall appoint nine members |
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to the advisory committee in a manner that ensures that the |
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committee: |
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(1) represents the spectrum of geographic areas |
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included in the Texas-Mexico border region; |
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(2) includes persons who are knowledgeable regarding |
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the Medicaid program, including Medicaid managed care, and the |
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child health plan program; and |
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(3) represents the interests of physicians, |
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hospitals, patients, managed care organizations, state agencies |
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involved in the management and delivery of medical resources of any |
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kind, affected communities, and other areas of the state. |
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(o) The commission shall [contract with a public university
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to]: |
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(1) measure changes occurring from September 1, 2002 |
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[2001], to August 31, 2014 [2004], in the number of health care |
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providers participating in the Medicaid program or the child health |
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plan program in the Texas-Mexico border region and resulting |
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effects on consumer access to health care and consumer utilization; |
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(2) determine: |
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(A) the effects, if any, of the changes in rates |
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and expenditures required by Subsection (k); and |
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(B) if funding available and used for changes in |
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rates and expenditures was sufficient to produce measurable |
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effects; |
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(3) make a recommendation regarding whether Medicaid |
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rate increases should be expanded to include Medicaid services |
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provided to adults in the Texas-Mexico border region; and |
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(4) not later than December 1, 2014 [2004], submit a |
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report to the legislature. |
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(p) This section expires September 1, 2015 [2011]. |
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SECTION 3. The advisory committee on Medicaid and child |
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health plan program rate and expenditure disparities between the |
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Texas-Mexico border region and other areas of the state is |
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re-created in accordance with Section 531.0223, Government Code, as |
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amended by this Act. Not later than December 1, 2011, the executive |
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commissioner of the Health and Human Services Commission shall |
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appoint the members of the advisory committee as required by that |
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section. |
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SECTION 4. This Act takes effect immediately if it receives |
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a vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect on the 91st day after the last day of the |
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legislative session. |
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______________________________ |
______________________________ |
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President of the Senate |
Speaker of the House |
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I hereby certify that S.B. No. 1220 passed the Senate on |
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March 31, 2011, by the following vote: Yeas 31, Nays 0. |
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______________________________ |
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Secretary of the Senate |
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I hereby certify that S.B. No. 1220 passed the House on |
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May 23, 2011, by the following vote: Yeas 142, Nays 0, one |
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present not voting. |
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______________________________ |
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Chief Clerk of the House |
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Approved: |
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______________________________ |
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Date |
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______________________________ |
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Governor |