Bill Text: TX HCR145 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Expressing the legislature's intent that the state negotiates an updated 1115 waiver with the federal government in a timely manner.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2019-04-17 - Withdrawn from schedule [HCR145 Detail]
Download: Texas-2019-HCR145-Introduced.html
By: Sheffield | H.C.R. No. 145 |
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WHEREAS, the Health and Human Services Commission (HHSC), | ||
with the support of the Legislature, has created an innovative | ||
health care safety net through the Health Care Transformation and | ||
Quality Improvement 1115 waiver; and | ||
WHEREAS, the 1115 waiver has facilitated access to vital | ||
healthcare and mental health services, as well as substance abuse | ||
treatment, through the Delivery System Reform Incentive Payment | ||
(DSRIP) program; and | ||
WHEREAS, the DSRIP agreement with the Centers for Medicare | ||
and Medicaid Services (CMS) for approximately $3 billion in annual | ||
funding permanently ends in 2021; and | ||
WHEREAS, it is critical to negotiate a new waiver-based | ||
solution based on Texas conservative principles that retains the | ||
healthcare safety net for individuals without access to affordable | ||
health insurance, most of whom come from families with at least one | ||
breadwinner; and | ||
WHEREAS, mental health centers and rural hospitals are | ||
particularly vulnerable to the increase in uncompensated care that | ||
will occur without a solution to the loss of DSRIP funding; | ||
WHEREAS, CMS has asked for innovative proposals from state | ||
governments that increase budget flexibility, promote personal | ||
responsibility, and foster a cost-effective approach to treating | ||
mental illness and pre-existing conditions while increasing access | ||
to preventive and maternal health services; and | ||
WHEREAS, while not a pre-requisite for a waiver-based | ||
solution to the loss of DSRIP funding, it is beneficial for the | ||
Legislature to demonstrate to HHSC and CMS its support for a | ||
solution that maximizes federal funding while not expanding state | ||
Medicaid enrollment or creating a new budget entitlement; now, | ||
therefore, be it | ||
RESOLVED, that the 86th Legislature of the State of Texas | ||
expresses its intent that HHSC negotiate with CMS to leverage | ||
enhanced federal funding and the CMS commitment to state | ||
flexibility to develop a non-entitlement coverage model based on | ||
the private market through a new waiver or a revision of the current | ||
waiver; and be it further | ||
RESOLVED, that the Legislature expresses its intent that the | ||
new or revised waiver be renegotiated within a timeframe that | ||
minimizes or eliminates any disruption to the healthcare safety net | ||
caused by the loss of DSRIP funding. |