Bill Text: TX SB937 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to a pilot program for providing services to certain women and children under the Medicaid medical transportation program.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Introduced - Dead) 2019-05-09 - Co-author authorized [SB937 Detail]
Download: Texas-2019-SB937-Introduced.html
By: Zaffirini | S.B. No. 937 | |
|
||
|
||
relating to a pilot program for providing services to certain women | ||
and children under the Medicaid medical transportation program. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter B, Chapter 531, Government Code, is | ||
amended by adding Section 531.024141 to read as follows: | ||
Sec. 531.024141. PILOT PROGRAM FOR PROVIDING MEDICAL | ||
TRANSPORTATION PROGRAM SERVICES TO PREGNANT WOMEN AND NEW MOTHERS. | ||
(a) In this section: | ||
(1) "Medicaid managed care organization" means a | ||
managed care organization as defined by Section 533.001 that | ||
contracts with the commission under Chapter 533 to provide health | ||
care services to Medicaid recipients. | ||
(2) "Medical transportation program" has the meaning | ||
assigned by Section 531.02414. | ||
(b) The commission, in collaboration with the Maternal | ||
Mortality and Morbidity Task Force established under Chapter 34, | ||
Health and Safety Code, shall develop and, not later than September | ||
1, 2020, implement a pilot program in at least one health care | ||
service region, as defined by Section 533.001, that allows for a | ||
Medicaid managed care organization that participates in the pilot | ||
program to arrange for and provide medical transportation program | ||
services to: | ||
(1) a woman who is enrolled in the STAR Medicaid | ||
managed care program during the woman’s pregnancy and after she | ||
delivers; and | ||
(2) the child of a woman described by Subdivision (1) | ||
who accompanies the woman. | ||
(c) A Medicaid managed care organization that participates | ||
in the pilot program may arrange for and provide the medical | ||
transportation program services described by Subsection (b) only if | ||
the provision of the services does not result in additional costs to | ||
Medicaid or the commission. | ||
(d) In developing the pilot program, the commission shall | ||
ensure that a Medicaid managed care organization participating in | ||
the pilot program provides medical transportation services in a | ||
safe and efficient manner. | ||
(e) Not later than December 1, 2020, the commission shall | ||
report to the legislature on the implementation of the pilot | ||
program. | ||
(f) The commission shall evaluate the results of the pilot | ||
program and determine whether the program: | ||
(1) is cost-effective; | ||
(2) improves the efficiency and quality of services | ||
provided under the medical transportation program; and | ||
(3) is effective in: | ||
(A) increasing access to prenatal and postpartum | ||
health care services; | ||
(B) reducing pregnancy-related complications; | ||
and | ||
(C) decreasing the rate of missed appointments | ||
for covered health care services by women enrolled in the STAR | ||
Medicaid managed care program. | ||
(g) Not later than December 1, 2022, the commission shall | ||
submit a report to the legislature on the results of the pilot | ||
program. The commission shall include in the report a | ||
recommendation regarding whether the pilot program should | ||
continue, be expanded, or terminate. | ||
(h) The executive commissioner may adopt rules to implement | ||
this section. | ||
(i) This section expires September 1, 2023. | ||
SECTION 2. 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 3. This Act takes effect September 1, 2019. |