S.B. No. 1921
 
 
 
 
AN ACT
  relating to Medicaid reimbursement for the provision of certain
  behavioral health and physical health services.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 32, Human Resources Code,
  is amended by adding Section 32.0246 to read as follows:
         Sec. 32.0246.  MEDICAL ASSISTANCE REIMBURSEMENT FOR CERTAIN
  BEHAVIORAL HEALTH AND PHYSICAL HEALTH SERVICES. (a) In this
  section, "behavioral health services" has the meaning assigned by
  Section 533.00255(a), Government Code, and includes targeted case
  management and psychiatric rehabilitation services.
         (b)  The commission shall provide to a public or private
  provider of behavioral health services medical assistance
  reimbursement through a fee-for-service delivery model for
  behavioral health or physical health services provided to a
  recipient before that recipient's enrollment with and receipt of
  medical assistance services through a managed care organization
  under Chapter 533, Government Code.
         (c)  The commission shall ensure that a public or private
  provider of behavioral health services who is reimbursed under
  Subsection (b) through a fee-for-service delivery model is provided
  medical assistance reimbursement through a managed care model for
  behavioral health or physical health services provided to a
  recipient after that recipient's enrollment with and receipt of
  medical assistance services through a managed care organization
  under Chapter 533, Government Code.
         SECTION 2.  Section 32.024, Human Resources Code, is amended
  by adding Subsection (ll) to read as follows:
         (ll) The commission shall provide medical assistance
  reimbursement to an authorized wound care education and training
  services provider and establish outcome measures for evaluating the
  physical health care outcomes of recipients who receive wound care
  education and training services from an authorized wound care
  education and training services provider.
         SECTION 3.  Subchapter B, Chapter 32, Human Resources Code,
  is amended by adding Section 32.0285 to read as follows:
         Sec. 32.0285.  CALCULATION OF MEDICAL EDUCATION ADD-ON FOR
  REIMBURSEMENT OF TEACHING HOSPITALS THAT PROVIDE BEHAVIORAL HEALTH
  AND PHYSICAL HEALTH SERVICES. The commission shall, on request
  from a teaching hospital that provides behavioral health and
  physical health services, update on a biannual basis the education
  adjustment factor used to calculate the medical education add-on
  using the most current Medicare education adjustment factor data
  available under 42 C.F.R. Section 412.105 at the time the
  commission makes the update.
         SECTION 4.  Section 32.0285, Human Resources Code, as added
  by this Act, applies only to a request from a teaching hospital that
  is made on or after September 1, 2022.
         SECTION 5.  The Health and Human Services Commission is
  required to implement a provision of this Act only if the
  legislature appropriates money to the commission specifically for
  that purpose. If the legislature does not appropriate money
  specifically for that purpose, the commission may, but is not
  required to, implement a provision of this Act using other
  appropriations that are available for that purpose.
         SECTION 6.  If before implementing any provision of this Act
  a state agency determines that a waiver or authorization from a
  federal agency is necessary for implementation of that provision,
  the agency affected by the provision shall request the waiver or
  authorization and may delay implementing that provision until the
  waiver or authorization is granted.
         SECTION 7.  This Act takes effect September 1, 2022.
 
 
 
 
 
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
 
         I hereby certify that S.B. No. 1921 passed the Senate on
  May 4, 2021, by the following vote: Yeas 30, Nays 0; and that the
  Senate concurred in House amendment on May 30, 2021, by the
  following vote: Yeas 31, Nays 0.
 
 
  ______________________________
  Secretary of the Senate    
 
         I hereby certify that S.B. No. 1921 passed the House, with
  amendment, on May 26, 2021, by the following vote: Yeas 96,
  Nays 50, one present not voting.
 
 
  ______________________________
  Chief Clerk of the House   
 
 
 
  Approved:
 
  ______________________________ 
              Date
 
 
  ______________________________ 
            Governor