Bill Text: TX SB1694 | 2023-2024 | 88th Legislature | Introduced
Bill Title: Relating to the reimbursement rate for the provision of vagus nerve stimulation therapy system devices by certain health care providers under Medicaid.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2023-03-16 - Referred to Health & Human Services [SB1694 Detail]
Download: Texas-2023-SB1694-Introduced.html
| 88R10634 KKR-F | ||
| By: Blanco | S.B. No. 1694 | |
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| relating to the reimbursement rate for the provision of vagus nerve | ||
| stimulation therapy system devices by certain health care providers | ||
| under Medicaid. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Subchapter B, Chapter 32, Human Resources Code, | ||
| is amended by adding Section 32.03145 to read as follows: | ||
| Sec. 32.03145. REIMBURSEMENT FOR VAGUS NERVE STIMULATION | ||
| THERAPY SYSTEM DEVICE PROVIDED BY CERTAIN PROVIDERS. (a) This | ||
| section applies only to the following providers under the medical | ||
| assistance program: | ||
| (1) a hospital licensed under Chapter 241, Health and | ||
| Safety Code, that provides acute care services; or | ||
| (2) an ambulatory surgical center licensed under | ||
| Chapter 243, Health and Safety Code. | ||
| (b) The executive commissioner shall ensure that the rules | ||
| governing the determination of reimbursement rates paid to a | ||
| provider subject to this section for the provision of a vagus nerve | ||
| stimulation therapy system device to a medical assistance recipient | ||
| is: | ||
| (1) at least equal to 82 percent of the device's | ||
| acquisition cost; and | ||
| (2) in addition to any other surgery fee charged by the | ||
| provider. | ||
| SECTION 2. Section 533.005, Government Code, is amended by | ||
| adding Subsection (i) to read as follows: | ||
| (i) In addition to the requirements specified by Subsection | ||
| (a), a contract described by that subsection must contain a | ||
| requirement that a managed care organization comply with Section | ||
| 32.03145, Human Resources Code. | ||
| SECTION 3. (a) The Health and Human Services Commission | ||
| shall, in a contract between the commission and a managed care | ||
| organization under Chapter 533, Government Code, that is entered | ||
| into or renewed on or after the effective date of this Act, require | ||
| that the managed care organization comply with Section 533.005(i), | ||
| Government Code, as added by this Act. | ||
| (b) The Health and Human Services Commission shall seek to | ||
| amend contracts entered into with managed care organizations under | ||
| Chapter 533, Government Code, before the effective date of this Act | ||
| to require those managed care organizations to comply with Section | ||
| 533.005(i), Government Code, as added by this Act. To the extent of | ||
| a conflict between Section 533.005(i), Government Code, as added by | ||
| this Act, and a provision of a contract with a managed care | ||
| organization entered into before the effective date of this Act, | ||
| the contract provision prevails. | ||
| SECTION 4. 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 5. This Act takes effect September 1, 2023. | ||
