Bill Text: TX SB2040 | 2019-2020 | 86th Legislature | Comm Sub
Bill Title: Relating to a report regarding Medicaid reimbursement rates and access to care.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Engrossed - Dead) 2019-05-17 - Committee report sent to Calendars [SB2040 Detail]
Download: Texas-2019-SB2040-Comm_Sub.html
86R32956 LED-D | ||
By: Rodríguez | S.B. No. 2040 | |
(González of El Paso) | ||
Substitute the following for S.B. No. 2040: No. |
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relating to a report regarding Medicaid reimbursement rates and | ||
access to care. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. (a) In this section, "commission" means the | ||
Health and Human Services Commission. | ||
(b) The commission shall prepare a written report regarding | ||
provider reimbursement rates and access to care in the Medicaid | ||
program. The commission shall collaborate with the medical care | ||
advisory committee established under Section 32.022, Human | ||
Resources Code, to develop and define the scope of the research for | ||
the report. The report must: | ||
(1) review the provider reimbursement rates for at | ||
least 20 Medicaid-covered services; | ||
(2) outline factors of the reimbursement rate | ||
methodologies used by Medicaid managed care organizations; | ||
(3) propose alternative reimbursement methodologies; | ||
(4) evaluate the impact of Medicaid provider | ||
reimbursement rates on access to care for Medicaid recipients; | ||
(5) compare provider participation in Medicaid by | ||
region, particularly increases or decreases in the number of | ||
participating providers per year beginning with the state fiscal | ||
year ending August 31, 2012, categorized by provider specialty and | ||
subspecialty; | ||
(6) list to the extent the information is available, | ||
for each state fiscal quarter beginning with the first quarter of | ||
the state fiscal year ending August 31, 2017: | ||
(A) counties in which provider access standards | ||
relating to distance have not been met; and | ||
(B) counties in which provider access standards | ||
relating to travel time have not been met; | ||
(7) examine Medicaid directed provider payments and | ||
their effect on incentivizing providers to participate or continue | ||
participating in Medicaid, including: | ||
(A) the uniform hospital rate increase program | ||
described by 1 T.A.C. Section 353.1305; | ||
(B) the quality incentive payment program | ||
(QIPP); and | ||
(C) the minimum reimbursement rate for nursing | ||
facilities described by Section 533.00251, Government Code; and | ||
(8) determine the feasibility and cost of | ||
establishing: | ||
(A) a minimum fee schedule for Medicaid providers | ||
in counties where provider access standards are not being met; and | ||
(B) a different reimbursement rate for classes of | ||
providers who provide care in a county: | ||
(i) located on an international border; or | ||
(ii) with a Medicaid population at least 10 | ||
percent higher than the statewide average Medicaid population. | ||
(c) Not later than December 1, 2020, the commission shall | ||
prepare and submit to the legislature the report described by | ||
Subsection (b) of this section. Notwithstanding that subsection, | ||
the commission is not required to include in the report any | ||
information the commission determines is proprietary. | ||
SECTION 2. This Act takes effect September 1, 2019. |