Bill Text: TX SB1177 | 2019-2020 | 86th Legislature | Enrolled
Bill Title: Relating to offering certain evidence-based services in lieu of other mental health or substance use disorder services by a Medicaid managed care organization.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Passed) 2019-06-14 - Effective on 9/1/19 [SB1177 Detail]
Download: Texas-2019-SB1177-Enrolled.html
S.B. No. 1177 |
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relating to offering certain evidence-based services in lieu of | ||
other mental health or substance use disorder services by a | ||
Medicaid managed care organization. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 533.005, Government Code, is amended by | ||
adding Subsection (g) to read as follows: | ||
(g) In addition to the requirements specified by Subsection | ||
(a), a contract described by that subsection must contain language | ||
permitting a managed care organization to offer medically | ||
appropriate, cost-effective, evidence-based services from a list | ||
approved by the state Medicaid managed care advisory committee and | ||
included in the contract in lieu of mental health or substance use | ||
disorder services specified in the state Medicaid plan. A | ||
recipient is not required to use a service from the list included in | ||
the contract in lieu of another mental health or substance use | ||
disorder service specified in the state Medicaid plan. The | ||
commission shall: | ||
(1) prepare and submit an annual report to the | ||
legislature on the number of times during the preceding year a | ||
service from the list included in the contract is used; and | ||
(2) take into consideration the actual cost and use of | ||
any services from the list included in the contract that are offered | ||
by a managed care organization when setting the capitation rates | ||
for that organization under the contract. | ||
SECTION 2. Section 533.005, Government Code, as amended by | ||
this Act, applies to a contract entered into or renewed on or after | ||
the effective date of this Act. A contract entered into or renewed | ||
before that date is governed by the law in effect on the date the | ||
contract was entered into or renewed, and that law is continued in | ||
effect for that purpose. | ||
SECTION 3. 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 4. This Act takes effect September 1, 2019. | ||
______________________________ | ______________________________ | |
President of the Senate | Speaker of the House | |
I hereby certify that S.B. No. 1177 passed the Senate on | ||
May 3, 2019, by the following vote: Yeas 31, Nays 0. | ||
______________________________ | ||
Secretary of the Senate | ||
I hereby certify that S.B. No. 1177 passed the House on | ||
May 22, 2019, by the following vote: Yeas 109, Nays 34, two | ||
present not voting. | ||
______________________________ | ||
Chief Clerk of the House | ||
Approved: | ||
______________________________ | ||
Date | ||
______________________________ | ||
Governor |