Bill: SB 894, 85(R) - 2017

Committee

Senate Health & Human Services

2nd Chamber Committee

House Human Services

Vote Recommendation

Vote Recommendation Economic Freedom Property Rights Personal Responsibility Limited Government Individual Liberty
Neutral Neutral Neutral Neutral Neutral Neutral

Author(s)

Dawn Buckingham

Sponsor(s)

Sergio Munoz Jr.

Bill Caption

Relating to the Health and Human Services Commission's strategy for managing audit resources, including procedures for auditing and collecting payments from Medicaid managed care organizations. 

Fiscal Notes

From the LBB: The fiscal implications of the bill cannot be determined at this time, but a significant fiscal impact to the state would be anticipated. Insufficient information is available to calculate a specific cost.

Bill Analysis

This bill would establish procedure on how the Health and Human Services Commission selects managed care organizations (MCO) to audit, as well as require the commission to periodically audit pharmacy benefit managers that contract with MCOs or require the MCO to audit the pharmacy benefit managers. The bill would also establish a monitoring process in the Medicaid and CHIP services department to strengthen the commission’s process for collecting shared profits from MCOs. The bill would also establish procedures for the security and processing controls over IT systems.

The bill also adds requirements for the verification of reimbursement of certain claims using an electronic visit verification system. These requirements include information requirements for verification of Medicaid patients being reimbursed for personal care services or attendant care services, including services under the Transformation 1115 Waiver. The bill also requires that HHSC implement such a system in accordance with Section 531.024172, Government Code. 

Vote Recommendation Notes

SB 894 would enact procedural changes that do not appear to have a connection to our liberty principles, therefore we remain neutral.

Source URL (retrieved on 03/29/2024 09:03 AM): http://reports.texasaction.com/bill/85r/sb894?print_view=true