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Relating to maternal and newborn health care and the quality of services provided to women in this state under certain health care programs.
Estimated Two-year Net Impact to General Revenue Related Funds for SB 750, Committee Report 1st House, Substituted: a negative impact of ($14,672,838) through the biennium ending August 31, 2021.
The bill would make no appropriation but could provide the legal basis for an appropriation of
funds to implement the provisions of the bill. The Health and Human Services Commission is
required to implement a provision of this Act only if the legislature appropriates money 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 available for that purpose.
SB 750 would require the Health and Human Services Commission (HHSC) to apply to the Centers for Medicare and Medicaid Services to receive any federal money available to implement a model of care that improves the quality and accessibility of care for pregnant women with opioid use disorder enrolled in Medicaid during the prenatal and postpartum periods, and for their children after birth.
HHSC would be required to ensure that women receiving services under the Healthy Texas Women program are referred to and provided with information on the primary health care services program. HHSC would be required to develop and implement cost-effective, evidence-based, and enhanced prenatal services for high-risk pregnant women covered under Medicaid.
This bill would add temporary provisions requiring HHSC to assess: (1) the feasibility and cost-effectiveness of contracting with Medicaid managed care organizations to provide Health Texas Women program services through managed care in one or more health care service regions in Texas if the Healthy Texas Women Section 1115 Demonstration Waiver is approved; and (2) the potential impact of that delivery model on women receiving services under the program.
This bill requires HHSC to make several other changes to ensure continuity, quality and accessibility to care for women enrolled in the Healthy Texas Women program
Finally, this bill would allow the Midland County Hospital District to adopt, change the rate of, or abolish a sales and use tax at an election held in the district and to use revenue from the tax for any purpose of the district authorized by law.
Texas Action recommends opposing SB 750 because it infringes upon the principle of limited government by expanding a taxpayer-funded program that is outside of the core function of government.