Bill

HB 133

87(R) - 2021
House Human Services
Senate Health and Human Services
House Human Services
Senate Health and Human Services
Health & Human Services
Women

Contact the Author

Toni Rose

Phone:

512-463-0664

Capitol Office:

E2.306

Email:

Vote Recommendation

Neutral
  • Neutral
  • Neutral
  • Neutral
  • Neutral
  • Neutral

Author(s)

Toni Rose
Ron Reynolds
Shawn Thierry
Senfronia Thompson
Armando Walle

Co-Author(s)

Alma A. Allen
Steve Allison
John H Bucy III
Angie Chen Button
Terry Canales
Sheryl Cole
Jasmine Crockett
Art Fierro
Vikki Goodwin
Bobby Guerra
Ana Hernandez
Jacey Jetton
Ann Johnson
Jarvis Johnson
Julie Johnson
Ray Lopez
Armando Martinez
Trey Martinez Fischer
Morgan Meyer
Theresa Meza
Ina Minjarez
Eddie Morales
Penny Morales Shaw
Victoria Neave
Claudia Ordaz perez
Evelina Ortega
Ana-Maria Ramos
John Raney
Richard Raymond
Eddie Rodriguez
Carl Sherman
David Spiller
Gary VanDeaver
Hubert Vo
Gene Wu
Erin Zwiener

Sponsor(s)

Lois Kolkhorst

Co-Sponsor(s)

Carol Alvarado
C├ęsar J Blanco
Juan "Chuy" Hinojosa
Nathan Johnson
Royce West

Bill Caption

Relating to the provision of certain benefits under Medicaid and the Healthy Texas Women program, including the transition of case management for children and pregnant women program services and Healthy Texas Women program services to a managed care program.

Fiscal Notes

Estimated Two-year Net Impact to General Revenue Related Funds for HB 133, Committee Report 2nd House, Substituted: a NEGATIVE impact of ($45,761,921) through the biennium ending August 31, 2023. 

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 (HHSC) and Department of State Health Services (DSHS) are 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 for that purpose, HHSC and DSHS may, but are not required to, implement a provision of this Act using other appropriations available for that purpose. 

Bill Analysis

HB 133 would require the Health and Human Services Commission to transition to a Medicaid managed care model for transition services provided to all recipients under the children and pregnant women program. This program is designed to provide case management services to children who have a health condition or health risk and pregnant women who have a high-risk condition via this new managed care model. This transition would be required to occur seamlessly. In order to accomplish this, the commission would consult with the Healthy Texas Women program, identify barriers, and designate service providers. 

Women who were enrolled in the Healthy Texas Women program and have a household income that is more than 100, but not more than 200 percent, the federal poverty level would have to be given information regarding their eligibility for a premium subsidy under the Patient Protection and Affordable Care Act.

HB 133 would require the commission to study the feasibility of making this transition from the Healthy Texas Women program to this new managed care program automatic. 

HB 133 would finally require the Health and Human Services Commission to continue providing medical assistance to a woman who is eligible for medical assistance for pregnant women for a period of not less than 6 months following the date the woman delivers or experiences an involuntary miscarriage. 

Vote Recommendation Notes

The goal of HB 133 is to move the children and pregnant women program from a fee based model to a managed care model. Managed care models have proven to be more efficient and cost effective than their fee based counterparts, which supports our limited government principle. However we have concerns about the large fiscal note still associated with HB 133, so Texas Action remains neutral.

Contact the Author

Toni Rose

Phone:

512-463-0664

Capitol Office:

E2.306

Email: