Bill Text: TX HB25 | 2019-2020 | 86th Legislature | Comm Sub
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating to a pilot program for providing services to certain women and children under the Medicaid medical transportation program.
Spectrum: Moderate Partisan Bill (Democrat 12-3)
Status: (Passed) 2019-06-10 - Effective on 9/1/19 [HB25 Detail]
Download: Texas-2019-HB25-Comm_Sub.html
Bill Title: Relating to a pilot program for providing services to certain women and children under the Medicaid medical transportation program.
Spectrum: Moderate Partisan Bill (Democrat 12-3)
Status: (Passed) 2019-06-10 - Effective on 9/1/19 [HB25 Detail]
Download: Texas-2019-HB25-Comm_Sub.html
86R17197 KKR-D | |||
By: González of El Paso, White, Phelan, | H.B. No. 25 | ||
Farrar | |||
Substitute the following for H.B. No. 25: | |||
By: Hinojosa | C.S.H.B. No. 25 |
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relating to a pilot program for providing services to certain women | ||
and children under the Medicaid medical transportation program. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter B, Chapter 531, Government Code, is | ||
amended by adding Section 531.024141 to read as follows: | ||
Sec. 531.024141. PILOT PROGRAM FOR PROVIDING MEDICAL | ||
TRANSPORTATION PROGRAM SERVICES TO PREGNANT WOMEN AND NEW MOTHERS. | ||
(a) In this section: | ||
(1) "Demand response transportation services" means | ||
medical transportation program services that are provided by | ||
dispatching a transportation service provider's vehicle in | ||
response to a request from a client or by a shared one-way trip. | ||
(2) "Managed transportation organization" has the | ||
meaning assigned by Section 533.00257. | ||
(3) "Medicaid managed care organization" means a | ||
managed care organization as defined by Section 533.001 that | ||
contracts with the commission under Chapter 533 to provide health | ||
care services to Medicaid recipients. | ||
(4) "Medical transportation program" has the meaning | ||
assigned by Section 531.02414. | ||
(b) The commission, in collaboration with the Maternal | ||
Mortality and Morbidity Task Force established under Chapter 34, | ||
Health and Safety Code, shall develop and, not later than September | ||
1, 2020, implement a pilot program in at least one health care | ||
service region, as defined by Section 533.001, that allows for a | ||
managed transportation organization that participates in the pilot | ||
program to arrange for and provide medical transportation program | ||
services to: | ||
(1) a woman who is enrolled in the STAR Medicaid | ||
managed care program during the woman's pregnancy and after she | ||
delivers; and | ||
(2) the child of a woman described by Subdivision (1) | ||
who accompanies the woman. | ||
(c) A managed transportation organization that participates | ||
in the pilot program shall: | ||
(1) arrange for and provide the medical transportation | ||
program services described by Subsection (b) in a manner that does | ||
not result in additional costs to Medicaid or the commission; | ||
(2) arrange for and provide demand response | ||
transportation services, including, to the extent allowed by law, | ||
through a transportation network company as defined by Section | ||
2402.001, Occupations Code, to a woman described by Subsection (b) | ||
if: | ||
(A) the request for transportation services is | ||
made during the two working days before the date the woman requires | ||
transportation in order to receive a covered health care service; | ||
or | ||
(B) the woman receiving medical transportation | ||
program services needs to travel directly to and from a location to | ||
receive a covered health care service and cannot be a participant in | ||
a shared trip; and | ||
(3) ensure that the managed transportation | ||
organization and the managed care organization through which a | ||
woman described by Subsection (b) receives health care services | ||
effectively share information and coordinate services for the | ||
woman. | ||
(d) In developing the pilot program, the commission shall | ||
ensure that a managed transportation organization participating in | ||
the pilot program provides medical transportation services in a | ||
safe and efficient manner. | ||
(e) Not later than December 1, 2020, the commission shall | ||
report to the legislature on the implementation of the pilot | ||
program. | ||
(f) The commission shall evaluate the results of the pilot | ||
program and determine whether the program: | ||
(1) is cost-effective; | ||
(2) improves the efficiency and quality of services | ||
provided under the medical transportation program; and | ||
(3) is effective in: | ||
(A) increasing access to prenatal and postpartum | ||
health care services; | ||
(B) reducing pregnancy-related complications; | ||
and | ||
(C) decreasing the rate of missed appointments | ||
for covered health care services by women enrolled in the STAR | ||
Medicaid managed care program. | ||
(g) Not later than December 1, 2022, the commission shall | ||
submit a report to the legislature on the results of the pilot | ||
program. The commission shall include in the report a | ||
recommendation regarding whether the pilot program should | ||
continue, be expanded, or terminate. | ||
(h) The executive commissioner may adopt rules to implement | ||
this section. | ||
(i) This section expires September 1, 2023. | ||
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 September 1, 2019. |