Bill Text: TX HB1585 | 2019-2020 | 86th Legislature | Comm Sub
Bill Title: Relating to a study on interest or other waiting lists maintained for certain Medicaid programs providing services to persons with an intellectual or developmental disability.
Spectrum: Slight Partisan Bill (Republican 3-1)
Status: (Introduced - Dead) 2019-04-16 - Committee report sent to Calendars [HB1585 Detail]
Download: Texas-2019-HB1585-Comm_Sub.html
| 86R22353 KFF-D | |||
| By: González of El Paso, Frank, Klick, | H.B. No. 1585 | ||
| Swanson | |||
| Substitute the following for H.B. No. 1585: | |||
| By: Hinojosa | C.S.H.B. No. 1585 | ||
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| relating to a study on interest or other waiting lists maintained | ||
| for certain Medicaid programs providing services to persons with an | ||
| intellectual or developmental disability. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. (a) The Health and Human Services Commission, | ||
| in consultation and collaboration with the Intellectual and | ||
| Developmental Disability System Redesign Advisory Committee | ||
| established under Section 534.053, Government Code, shall conduct a | ||
| study examining the interest or other waiting lists maintained for | ||
| the following Medicaid programs authorized under Section 1115 or | ||
| 1915(c) of the federal Social Security Act (42 U.S.C. Section 1315 | ||
| or 1396n(c)) that provide services to persons with an intellectual | ||
| or developmental disability: | ||
| (1) the community living assistance and support | ||
| services (CLASS) waiver program; | ||
| (2) the home and community-based services (HCS) waiver | ||
| program; | ||
| (3) the deaf-blind with multiple disabilities (DBMD) | ||
| waiver program; | ||
| (4) the Texas home living (TxHmL) waiver program; | ||
| (5) the medically dependent children (MDCP) waiver | ||
| program; and | ||
| (6) the STAR+PLUS home and community-based services | ||
| (HCBS) program. | ||
| (b) In conducting the study under this section, the Health | ||
| and Human Services Commission shall, for each Medicaid program | ||
| described by Subsection (a) of this section: | ||
| (1) consider and analyze: | ||
| (A) the experiences of other states in reducing | ||
| or eliminating interest or other waiting lists, including through | ||
| the range of services available to persons with an intellectual or | ||
| developmental disability in each state; | ||
| (B) factors affecting the historical experience | ||
| of each Medicaid program and the program's interest or waiting list | ||
| during the five most recent state fiscal biennia, including: | ||
| (i) the amount of appropriated money | ||
| allocated to each program during each state fiscal year; and | ||
| (ii) significant policy changes impacting | ||
| each program and the program's interest or other waiting list; | ||
| (C) existing data relating to persons on an | ||
| interest or other waiting list, including demographic data and data | ||
| relating to each person's living arrangement, service preferences, | ||
| length of time on the list, and unmet support needs; and | ||
| (D) the urgency of the need for services of | ||
| persons on an interest or other waiting list at any given time, | ||
| including the extent to which the list is comprised of persons who: | ||
| (i) join the list before becoming eligible | ||
| for services under the associated Medicaid program; or | ||
| (ii) were eligible for services under the | ||
| associated Medicaid program at the time of joining the list but who | ||
| are no longer eligible for services under the program; and | ||
| (2) identify: | ||
| (A) additional strategies that the commission | ||
| could employ to eliminate the interest or other waiting lists in a | ||
| manner that results in the provision of person-centered services in | ||
| the most integrated setting, including strategies employed by other | ||
| states and strategies through which this state could receive | ||
| additional federal funding, and the estimated costs of implementing | ||
| those strategies; and | ||
| (B) a date by which the commission believes it | ||
| could eliminate the interest or other waiting lists if the | ||
| identified strategies were implemented. | ||
| (c) Not later than September 1, 2020, the Health and Human | ||
| Services Commission shall submit to the legislature a written | ||
| report containing the findings of the study conducted under this | ||
| Act and the commission's recommendations for: | ||
| (1) improving service delivery and reducing interest | ||
| and other waiting lists for Medicaid programs described under | ||
| Subsection (a) of this section, including recommendations for | ||
| potential legislation; and | ||
| (2) a methodology the commission should implement that | ||
| would prioritize persons on a list who have more urgent needs for | ||
| program services. | ||
| (d) Based on the Health and Human Services Commission's | ||
| findings of the study conducted under this Act, the commission | ||
| shall update its statewide strategic plan on the intellectual and | ||
| developmental disabilities system in this state that was developed | ||
| in relation to the statewide behavioral health strategic plan | ||
| required under Section 10.04 of the Article IX health-related | ||
| provisions, Chapter 1281 (H.B. 1), Acts of the 84th Legislature, | ||
| Regular Session, 2015 (the General Appropriations Act), including | ||
| updating related short- and long-term goals, objectives, and | ||
| strategies to address identified gaps in services for persons with | ||
| an intellectual or developmental disability, timelines for | ||
| implementation of the plan, and mechanisms for tracking plan | ||
| outcomes. | ||
| SECTION 2. This Act expires September 1, 2023. | ||
| SECTION 3. This Act takes effect September 1, 2019. | ||
