Bill Text: TX HB2062 | 2019-2020 | 86th Legislature | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating to reimbursement for home telemonitoring services under Medicaid.
Spectrum: Slight Partisan Bill (Democrat 2-1)
Status: (Engrossed - Dead) 2019-05-13 - Referred to Health & Human Services [HB2062 Detail]
Download: Texas-2019-HB2062-Introduced.html
Bill Title: Relating to reimbursement for home telemonitoring services under Medicaid.
Spectrum: Slight Partisan Bill (Democrat 2-1)
Status: (Engrossed - Dead) 2019-05-13 - Referred to Health & Human Services [HB2062 Detail]
Download: Texas-2019-HB2062-Introduced.html
86R887 MM-D | ||
By: Guerra | H.B. No. 2062 |
|
||
|
||
relating to the provision and reimbursement of home telemonitoring | ||
services under Medicaid. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 531.02164, Government Code, is amended | ||
by amending Subsection (c) and adding Subsections (c-1) and (c-2) | ||
to read as follows: | ||
(c) The program established [ |
||
must: | ||
(1) provide that home telemonitoring services are | ||
available only to a person [ |
||
(A) is [ |
||
following conditions: | ||
(i) pregnancy; | ||
(ii) diabetes; | ||
(iii) heart disease; | ||
(iv) cancer; | ||
(v) chronic obstructive pulmonary disease; | ||
(vi) hypertension; | ||
(vii) congestive heart failure; | ||
(viii) mental illness or serious emotional | ||
disturbance; | ||
(ix) asthma; | ||
(x) myocardial infarction; or | ||
(xi) stroke; and | ||
(B) exhibits [ |
||
following risk factors: | ||
(i) two or more hospitalizations in the | ||
prior 12-month period; | ||
(ii) frequent or recurrent emergency room | ||
admissions; | ||
(iii) a documented history of poor | ||
adherence to ordered medication regimens; | ||
(iv) a documented history of falls in the | ||
prior six-month period; | ||
(v) limited or absent informal support | ||
systems; | ||
(vi) living alone or being home alone for | ||
extended periods of time; and | ||
(vii) a documented history of care access | ||
challenges; | ||
(2) ensure that clinical information gathered by a | ||
home and community support services agency or hospital while | ||
providing home telemonitoring services is shared with the patient's | ||
physician; [ |
||
(3) ensure that the program does not duplicate disease | ||
management program services provided under Section 32.057, Human | ||
Resources Code; and | ||
(4) provide reimbursement for home telemonitoring | ||
services in the event of an unsuccessful data transmission if the | ||
provider of the services attempts to communicate with the patient | ||
by telephone or in person to establish a successful data | ||
transmission. | ||
(c-1) Notwithstanding Subsection (c)(1), the program | ||
established under this section may also provide that home | ||
telemonitoring services are available to pediatric patients with | ||
chronic or complex medical needs who: | ||
(1) are being concurrently treated by at least three | ||
medical specialists; | ||
(2) are diagnosed with end-stage solid organ disease; | ||
(3) have received an organ transplant; or | ||
(4) are diagnosed with severe asthma. | ||
(c-2) A provider that is reimbursed under Subsection (c)(4) | ||
for home telemonitoring services provided to a patient may not also | ||
be reimbursed for communicating with the patient by telephone or in | ||
person to establish a successful data transmission as described by | ||
Subsection (c)(4). | ||
SECTION 2. Section 531.02176, Government Code, is repealed. | ||
SECTION 3. As soon as practicable after the effective date | ||
of this Act, the executive commissioner of the Health and Human | ||
Services Commission shall adopt necessary rules to implement the | ||
changes in law made by this Act. | ||
SECTION 4. 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 5. This Act takes effect September 1, 2019. |