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  H.B. No. 113
  relating to the use of community health workers in Medicaid managed
         SECTION 1.  Subchapter A, Chapter 533, Government Code, is
  amended by adding Section 533.021 to read as follows:
         Sec. 533.021.  COMMUNITY HEALTH WORKERS. (a)  In this
  section, "community health worker" has the meaning assigned by
  Section 48.001, Health and Safety Code.
         (b)  The commission shall allow each Medicaid managed care
  organization providing health care services under the STAR Medicaid
  managed care program to categorize services provided by a community
  health worker as a quality improvement cost, as authorized by
  federal law, instead of as an administrative expense.
         SECTION 2.  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 3.  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, 2023.
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
         I certify that H.B. No. 113 was passed by the House on April
  14, 2023, by the following vote:  Yeas 110, Nays 34, 1 present, not
  Chief Clerk of the House   
         I certify that H.B. No. 113 was passed by the Senate on May
  24, 2023, by the following vote:  Yeas 28, Nays 3.
  Secretary of the Senate    
  APPROVED:  _____________________