Bill Text: TX HB2355 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to information sharing among care coordinators and providers participating in the Medicaid managed care program.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2019-03-06 - Referred to Human Services [HB2355 Detail]
Download: Texas-2019-HB2355-Introduced.html
86R13479 KLA-D | ||
By: Muñoz, Jr. | H.B. No. 2355 |
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relating to information sharing among care coordinators and | ||
providers participating in the Medicaid managed care program. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter A, Chapter 533, Government Code, is | ||
amended by adding Section 533.00293 to read as follows: | ||
Sec. 533.00293. INFORMATION SHARING. (a) In this section: | ||
(1) "Care coordination" means assisting recipients to | ||
develop a plan of care, including a service plan, that meets the | ||
recipient's needs and coordinating the provision of Medicaid | ||
benefits in a manner that is consistent with the plan of care. The | ||
term is synonymous with "case management," "service coordination," | ||
and "service management." | ||
(2) "Care coordinator" means a person, including a | ||
case manager, engaged by a managed care organization to provide | ||
care coordination benefits. | ||
(b) To the extent permitted under applicable federal and | ||
state law enacted to protect the confidentiality and privacy of | ||
patients' health information, managed care organizations that | ||
contract with the commission under this chapter to provide health | ||
care services to recipients shall ensure the sharing of | ||
information, including recipient medical records, among care | ||
coordinators and health care providers as appropriate to provide | ||
care coordination benefits. For purposes of implementing this | ||
section, a managed care organization may allow a care coordinator | ||
to share a recipient's service plan with health care providers, | ||
subject to the limitations of this section. | ||
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, 2019. |