By: Coleman H.B. No. 4212
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the renewal of the Texas Health Care Transformation and
  Quality Improvement Program waiver under Medicaid.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Chapter 531, Government Code, is amended by
  adding Subchapter N-1 to read as follows:
  SUBCHAPTER N-1.  TEXAS HEALTH CARE TRANSFORMATION AND QUALITY
  IMPROVEMENT PROGRAM WAIVER
         Sec. 531.521.  RENEWAL REQUIREMENTS. Any renewal of the
  Texas Health Care Transformation and Quality Improvement Program
  waiver issued under Section 1115 of the federal Social Security Act
  (42 U.S.C. Section 1315) must:
               (1)  allocate funding to hospitals and other safety net
  providers to ensure the financial viability of the hospitals and
  providers;
               (2)  provide incentives for:
                     (A)  developing and expanding local and regional
  health care systems in order to reduce health care costs and
  increase the amount and types of health care services provided to
  uninsured persons; and
                     (B)  encouraging Medicaid recipients to actively
  participate in their health care and engage in healthy behaviors;
               (3)  provide a continuum of health care services for
  Medicaid recipients that includes:
                     (A)  preventive care;
                     (B)  primary care;
                     (C)  specialty care;
                     (D)  outpatient services;
                     (E)  inpatient services;
                     (F)  mental health services; and
                     (G)  substance use services;
               (4)  allow for variation in the manner Medicaid
  services are delivered, including through the use of:
                     (A)  managed care organizations;
                     (B)  accountable care organizations; or
                     (C)  health savings accounts; and
               (5)  ensure that any additional federal matching funds
  available are accepted and used to provide local and regional
  health care services to otherwise uninsured persons.
         SECTION 2.  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, 2017.