84R11792 PMO-F
	By: Perry	S.B. No. 1904

	A BILL TO BE ENTITLED
	AN ACT
	relating to the creation of a select interim committee to undertake
	a comprehensive review of the provision of public health care
	services in this state.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1.  CREATION OF SELECT INTERIM COMMITTEE. (a)  A
	select interim committee is created to study and review statutes
	and regulations, including model laws and regulations, related to
	the provision of health care services in this state.
	(b)  The committee shall convene at the call of the presiding
	officer.
	(c)  The committee has all other powers and duties provided
	to a special or select committee by the rules of the senate,
	Subchapter B, Chapter 301, Government Code, and policies of the
	senate committee on administration.
	SECTION 2.  INTERIM STUDY REGARDING THE PROVISION OF HEALTH
	CARE SERVICES. (a)  The committee created by Section 1 of this Act
	shall study the concept of providing health insurance coverage for
	acute care and home health care services for Medicaid recipients in
	the private insurance market through a capitated or block grant
	funding system and, with respect to a program based on that concept
	or other similar program:
	(1)  the requirements to obtain any waiver necessary to
	implement and administer the program;
	(2)  the cost of implementing and administering the
	program;
	(3)  the feasibility of implementing and administering
	a cost-sharing and sliding scale subsidy program for the Medicaid
	recipients served by the program;
	(4)  the implementation and administration of health
	savings accounts for the Medicaid recipients served by the program;
	(5)  minimum coverage requirements;
	(6)  eligibility requirements, including asset test
	requirements;
	(7)  options for programs to reinsure participating
	health benefit plan issuers; and
	(8)  any other issue related to the feasibility,
	implementation, and administration of the program.
	(b)  The committee created by Section 1 of this Act shall
	also study:
	(1)  health care models and programs to address health
	care spending in this state related to the Medicaid program,
	veterans affairs, hospital districts, charity care, uncompensated
	care, private pay insurance, self-insurance, and other health care
	spending;
	(2)  long-term and short-term models and programs with
	proven cost savings, including cost savings for private health care
	and other health care systems, criminal justice systems, child
	welfare systems, and other social and welfare services provided by
	the federal government or this state; and
	(3)  health care models and programs that promote
	coordinated collaboration between local and regional communities
	to serve low-income and indigent individuals by providing
	wraparound services resulting in cost-sharing, improved outcomes,
	and a reduction in administrative costs.
	SECTION 3.  TEXAS HEALTH CARE ADVISORY COUNCIL. (a)  The
	committee established under Section 1 of this Act shall establish
	the Texas Health Care Advisory Council to advise the committee as
	requested on issues related to the subject matter under study and
	review in accordance with this Act.
	(b)  The council authorized by Subsection (a) of this section
	is composed of a uniform number of individual members who represent
	the following interests:
	(1)  the managed care organization community;
	(2)  primary care physicians;
	(3)  local mental health authorities;
	(4)  hospitals;
	(5)  mental health professionals;
	(6)  the nursing community;
	(7)  health care charity organizations;
	(8)  the intellectual and developmental disability
	community;
	(9)  the dental community;
	(10)  the law enforcement community; and
	(11)  the judicial community.
	(c)  In addition to the members described by Subsection (b)
	of this section, the Texas Health Care Advisory Council must
	include a member appointed by the executive commissioner of the
	Health and Human Services Commission to represent the interests of
	the commission.
	SECTION 4.  COMMITTEE FINDINGS AND RECOMMENDATIONS.  (a)
	Not later than January 15, 2017, the committee shall report the
	committee's findings and recommendations to the lieutenant
	governor and the governor. The committee shall include in its
	recommendations specific statutory and regulatory changes that
	appear necessary from the results of the committee's study under
	Section 2 of this Act.
	(b)  Not later than the 60th day after the effective date of
	this Act, the lieutenant governor shall appoint the members of the
	committee created under Section 1 of this Act.
	SECTION 5.  ABOLITION OF COMMITTEE AND COUNCIL. The
	committee and the council are abolished and this Act expires
	January 20, 2017.
	SECTION 6.  EFFECTIVE DATE. 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, 2015.