Bill Text: TX SB1921 | 2021-2022 | 87th Legislature | Enrolled
Bill Title: Relating to Medicaid reimbursement for the provision of certain behavioral health and physical health services.
Spectrum: Bipartisan Bill
Status: (Passed) 2021-06-18 - Effective on . . . . . . . . . . . . . . . September 1, 2022 [SB1921 Detail]
Download: Texas-2021-SB1921-Enrolled.html
S.B. No. 1921 |
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relating to Medicaid reimbursement for the provision of certain | ||
behavioral health and physical health services. | ||
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 32.0246 to read as follows: | ||
Sec. 32.0246. MEDICAL ASSISTANCE REIMBURSEMENT FOR CERTAIN | ||
BEHAVIORAL HEALTH AND PHYSICAL HEALTH SERVICES. (a) In this | ||
section, "behavioral health services" has the meaning assigned by | ||
Section 533.00255(a), Government Code, and includes targeted case | ||
management and psychiatric rehabilitation services. | ||
(b) The commission shall provide to a public or private | ||
provider of behavioral health services medical assistance | ||
reimbursement through a fee-for-service delivery model for | ||
behavioral health or physical health services provided to a | ||
recipient before that recipient's enrollment with and receipt of | ||
medical assistance services through a managed care organization | ||
under Chapter 533, Government Code. | ||
(c) The commission shall ensure that a public or private | ||
provider of behavioral health services who is reimbursed under | ||
Subsection (b) through a fee-for-service delivery model is provided | ||
medical assistance reimbursement through a managed care model for | ||
behavioral health or physical health services provided to a | ||
recipient after that recipient's enrollment with and receipt of | ||
medical assistance services through a managed care organization | ||
under Chapter 533, Government Code. | ||
SECTION 2. Section 32.024, Human Resources Code, is amended | ||
by adding Subsection (ll) to read as follows: | ||
(ll) The commission shall provide medical assistance | ||
reimbursement to an authorized wound care education and training | ||
services provider and establish outcome measures for evaluating the | ||
physical health care outcomes of recipients who receive wound care | ||
education and training services from an authorized wound care | ||
education and training services provider. | ||
SECTION 3. Subchapter B, Chapter 32, Human Resources Code, | ||
is amended by adding Section 32.0285 to read as follows: | ||
Sec. 32.0285. CALCULATION OF MEDICAL EDUCATION ADD-ON FOR | ||
REIMBURSEMENT OF TEACHING HOSPITALS THAT PROVIDE BEHAVIORAL HEALTH | ||
AND PHYSICAL HEALTH SERVICES. The commission shall, on request | ||
from a teaching hospital that provides behavioral health and | ||
physical health services, update on a biannual basis the education | ||
adjustment factor used to calculate the medical education add-on | ||
using the most current Medicare education adjustment factor data | ||
available under 42 C.F.R. Section 412.105 at the time the | ||
commission makes the update. | ||
SECTION 4. Section 32.0285, Human Resources Code, as added | ||
by this Act, applies only to a request from a teaching hospital that | ||
is made on or after September 1, 2022. | ||
SECTION 5. The Health and Human Services Commission is | ||
required to implement a provision of this Act only if the | ||
legislature appropriates money to the commission specifically for | ||
that purpose. If the legislature does not appropriate money | ||
specifically for that purpose, the commission may, but is not | ||
required to, implement a provision of this Act using other | ||
appropriations that are available for that purpose. | ||
SECTION 6. 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 7. This Act takes effect September 1, 2022. | ||
______________________________ | ______________________________ | |
President of the Senate | Speaker of the House | |
I hereby certify that S.B. No. 1921 passed the Senate on | ||
May 4, 2021, by the following vote: Yeas 30, Nays 0; and that the | ||
Senate concurred in House amendment on May 30, 2021, by the | ||
following vote: Yeas 31, Nays 0. | ||
______________________________ | ||
Secretary of the Senate | ||
I hereby certify that S.B. No. 1921 passed the House, with | ||
amendment, on May 26, 2021, by the following vote: Yeas 96, | ||
Nays 50, one present not voting. | ||
______________________________ | ||
Chief Clerk of the House | ||
Approved: | ||
______________________________ | ||
Date | ||
______________________________ | ||
Governor |