H.R. No. 2189
 
 
 
R E S O L U T I O N
         BE IT RESOLVED by the House of Representatives of the State of
  Texas, 86th Legislature, 2019, That House Rule 13, Section 9(a), be
  suspended in part as provided by House Rule 13, Section 9(f), to
  enable the conference committee appointed to resolve the
  differences on Senate Bill 1207 (the operation and administration
  of Medicaid, including the Medicaid managed care program and the
  medically dependent children (MDCP) waiver program) to consider and
  take action on the following matters:
         (1)  House Rule 13, Section 9(a)(4) is suspended to permit
  the committee to add text on a matter not included in either the
  house or senate version of the bill by adding the following SECTION
  to the bill:
         SECTION 2.  Section 531.024, Government Code, is amended by
  amending Subsection (b) and adding Subsection (c) to read as
  follows:
         (b)  The rules promulgated under Subsection (a)(7) must
  provide due process to an applicant for Medicaid services and to a
  Medicaid recipient who seeks a Medicaid service, including a
  service that requires prior authorization.  The rules must provide
  the protections for applicants and recipients required by 42 C.F.R.
  Part 431, Subpart E, including requiring that:
               (1)  the written notice to an individual of the
  individual's right to a hearing must:
                     (A)  contain an explanation of the circumstances
  under which Medicaid is continued if a hearing is requested; and
                     (B)  be delivered by mail, and postmarked [mailed]
  at least 10 business days, before the date the individual's
  Medicaid eligibility or service is scheduled to be terminated,
  suspended, or reduced, except as provided by 42 C.F.R. Section
  431.213 or 431.214; and
               (2)  if a hearing is requested before the date a
  Medicaid recipient's service, including a service that requires
  prior authorization, is scheduled to be terminated, suspended, or
  reduced, the agency may not take that proposed action before a
  decision is rendered after the hearing unless:
                     (A)  it is determined at the hearing that the sole
  issue is one of federal or state law or policy; and
                     (B)  the agency promptly informs the recipient in
  writing that services are to be terminated, suspended, or reduced
  pending the hearing decision.
         (c)  The commission shall develop a process to address a
  situation in which:
               (1)  an individual does not receive adequate notice as
  required by Subsection (b)(1); or
               (2)  the notice required by Subsection (b)(1) is
  delivered without a postmark.
         Explanation: This addition is necessary to change the
  requirements for notice of a right to a hearing for an applicant for
  Medicaid services and a Medicaid recipient.
         (2)  House Rule 13, Section 9(a)(4) is suspended to permit
  the committee to add text on a matter not included in either the
  house or senate version of the bill by adding the following text to
  SECTION 3 of the bill:
         (a)  To the extent of any conflict, Section 531.024162,
  Government Code, as added by this section, prevails over any
  provision of another Act of the 86th Legislature, Regular Session,
  2019, relating to notice requirements regarding Medicaid coverage
  or prior authorization denials or incomplete requests, that becomes
  law.
         Explanation: This addition is necessary to provide that the
  amendment adding Section 531.024162, Government Code, prevails
  over other similar amendments made by the 86th Legislature.
 
  Krause
 
  ______________________________
  Speaker of the House     
 
         I certify that H.R. No. 2189 was adopted by the House on May
  26, 2019, by the following vote:  Yeas 142, Nays 2, 1 present, not
  voting.
 
  ______________________________
  Chief Clerk of the House