By: Davis of Harris, Price, Guerra, Darby, H.B. No. 25
      Krause, et al.
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to reimbursement rates for Medicaid acute care therapy
  services; making an appropriation.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  (a) In addition to other amounts appropriated to
  the Health and Human Services Commission for the state fiscal
  biennium ending August 31, 2019, the following amounts are
  appropriated to the commission for Medicaid acute care therapy
  services for the specified periods:
               (1)  $34,180,000 from the economic stabilization fund
  and $44,977,018 from federal funds for the state fiscal year ending
  August 31, 2018; and
               (2)  $35,995,000 from the economic stabilization fund
  and $48,262,959 from federal funds for the state fiscal year ending
  August 31, 2019.
         (b)  It is the intent of the legislature that:
               (1)  the Health and Human Services Commission allocate
  money appropriated under Subsection (a) of this section among
  provider types and procedure codes for Medicaid acute care therapy
  services in a manner that preserves access to care for clients
  served under the Medicaid fee-for-service and managed care delivery
  models; and
               (2)  money appropriated under Subsection (a) of this
  section be fully reflected in reimbursement rates paid to Medicaid
  acute care therapy services providers under both the Medicaid
  fee-for-service and managed care delivery models.
         SECTION 2.  The appropriation from the economic
  stabilization fund to the Trusteed Programs within the Office of
  the Governor for Strategy A.1.1., Disaster Funds, made by Chapter
  605 (S.B. 1), Acts of the 85th Legislature, Regular Session, 2017
  (the General Appropriations Act), for the state fiscal biennium
  beginning September 1, 2017, is reduced by $70,175,000.
 
         SECTION 3.  (a)  Subject to Subsection (b) of this section:
               (1)  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; and
               (2)  if this Act does not receive the vote necessary for
  immediate effect, this Act takes effect on the 91st day after the
  last day of the legislative session.
         (b)  This Act takes effect only if it receives a vote of
  two-thirds of the members present in each house of the legislature,
  as provided by Section 49-g(m), Article III, Texas Constitution.