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Relating to the transition of case management for children and pregnant women program services and Healthy Texas Women program services to a managed care program.
Estimated Two-year Net Impact to General Revenue Related Funds for SB 1149, Committee Report 1st House, Substituted: a NEGATIVE impact of ($1,841,707) 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.
SB 1149 would require the Health and Human Services Commission to transition to a Medicaid Managed Care Model to provide case management services to recipients under the child and pregnant women program and the Texas Healthy Woman program to ensure a recipient is provided case management services through the managed care plan.
By January 1, 2023 the commission would be required to assess the feasibility, cost-effectiveness, and benefits of automatically enrolling women in the managed care program who became pregnant while receiving services through the Healthy Texas Women Program.
Medicaid Managed care models are thought to provide more efficient healthcare outcomes at less expense than other Medicaid alternatives by allowing individuals to receive managed care services which may assist them in getting off a government healthcare plan more quickly and potentially save the state money.
While the bill does not appear to impact any liberty principles directly, due to the large fiscal note projected for years five and six, Texas Action remains neutral.