Bill Text: TX HB4556 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to the delivery of certain transportation services under Medicaid and certain other health and human services programs.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2019-03-26 - Referred to Human Services [HB4556 Detail]
Download: Texas-2019-HB4556-Introduced.html
86R3443 KKR-D | ||
By: Guillen | H.B. No. 4556 |
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relating to the delivery of certain transportation services under | ||
Medicaid and certain other health and human services programs. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 531.02414(a), Government Code, is | ||
amended by amending Subdivision (1) and adding Subdivisions (1-a) | ||
and (3) to read as follows: | ||
(1) "Full-risk regional transportation broker" means | ||
a regional contracted broker that is paid a capitated rate for | ||
providing medical transportation program services to program | ||
participants. | ||
(1-a) "Medical transportation program" means the | ||
program that provides nonemergency transportation services to and | ||
from covered health care services, based on medical necessity, to | ||
recipients under Medicaid, the children with special health care | ||
needs program, and the transportation for indigent cancer patients | ||
program, who have no other means of transportation. | ||
(3) "Rural or urban transit district" means a transit | ||
district created under Chapter 458, Transportation Code. | ||
SECTION 2. Section 531.02414, Government Code, is amended | ||
by amending Subsection (f) and adding Subsection (k) to read as | ||
follows: | ||
(f) Except as provided by Subsection (k), the [ |
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commission shall require compliance with the rules adopted under | ||
Subsection (e) in any contract entered into with a regional | ||
contracted broker to provide nonemergency transportation services | ||
under the medical transportation program. | ||
(k) A full-risk regional transportation broker may | ||
establish a preferred transportation provider network under which | ||
medical transportation program services are provided exclusively | ||
through a rural or urban transit district, subject to rules adopted | ||
under Subdivision (1). Rules adopted under Subsection (e) do not | ||
apply to providers under a preferred transportation provider | ||
network, and the commission may not regulate those providers. The | ||
executive commissioner shall adopt rules relating to the | ||
establishment of a preferred transportation provider network. The | ||
rules adopted under this subsection must provide that a full-risk | ||
regional transportation broker: | ||
(1) may provide medical transportation program | ||
services through another provider with whom the broker contracts if | ||
a network provider is not able to provide the services to a person | ||
at a particular time; and | ||
(2) may not regulate a transit district's motor | ||
vehicles or motor vehicle operators. | ||
SECTION 3. Section 533.00257, Government Code, is amended | ||
by amending Subsections (d) and (g) and adding Subsections (m) and | ||
(n) to read as follows: | ||
(d) A managed transportation organization that participates | ||
in the medical transportation program must attempt to contract with | ||
medical transportation providers that: | ||
(1) are considered significant traditional providers, | ||
as defined by rule by the executive commissioner; | ||
(2) except as provided by Subsections (m) and (n), | ||
meet the minimum quality and efficiency measures required under | ||
Subsection (g) and other requirements that may be imposed by the | ||
managed transportation organization; and | ||
(3) agree to accept the prevailing contract rate of | ||
the managed transportation organization. | ||
(g) Except as provided by Subsections (m) and (n), the [ |
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commission shall require that managed transportation organizations | ||
and providers participating in the medical transportation program | ||
meet minimum quality and efficiency measures as determined by the | ||
commission. | ||
(m) A managed transportation organization other than an | ||
organization described by Subsection (a)(1)(A) may establish a | ||
preferred transportation provider network under which medical | ||
transportation program services are provided exclusively through a | ||
rural or urban transit district, subject to rules adopted under | ||
Subdivision (1). Minimum quality and efficiency measures under | ||
Subsection (g) do not apply to providers under a preferred | ||
transportation provider network, and the commission may not | ||
regulate those providers. The executive commissioner shall adopt | ||
rules relating to the establishment of a preferred transportation | ||
provider network. The rules adopted under this subsection must | ||
provide that a managed transportation organization: | ||
(1) may provide medical transportation program | ||
services through another provider with whom the organization | ||
contracts if a network provider is not able to provide the services | ||
to a person at a particular time; and | ||
(2) may not regulate a transit district's motor | ||
vehicles or motor vehicle operators. | ||
(n) The commission may not impose minimum quality or | ||
efficiency measures on, or otherwise regulate, a managed | ||
transportation organization described by Subsection (a)(1)(A), | ||
provided that medical transportation program services are provided | ||
exclusively through the organization, subject to rules adopted | ||
under this section. The executive commissioner shall adopt rules | ||
that allow a managed transportation organization described by | ||
Subsection (a)(1)(A) to provide medical transportation program | ||
services through another provider with whom the organization | ||
contracts if the organization is not otherwise able to provide the | ||
services to a person at a particular time. | ||
SECTION 4. As soon as practicable after the effective date | ||
of this Act, the executive commissioner of the Health and Human | ||
Services Commission shall adopt rules as necessary to implement the | ||
changes in law made by this Act. | ||
SECTION 5. 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 6. This Act takes effect September 1, 2019. |