Bill Text: TX HB12 | 2019-2020 | 86th Legislature | Comm Sub

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Relating to early childhood intervention and rehabilitative and habilitative services.

Spectrum: Bipartisan Bill

Status: (Engrossed - Dead) 2019-05-07 - Received from the House [HB12 Detail]

Download: Texas-2019-HB12-Comm_Sub.html

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86R26795 KFF-D
By: Davis of Harris, Harless, Price, Zerwas, H.B. No. 12
et al.
Substitute the following for H.B. No. 12:
By: Miller C.S.H.B. No. 12

A BILL TO BE ENTITLED
AN ACT
relating to early childhood intervention services.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 73.009(a), Human Resources Code, is
amended to read as follows:
(a) The commission [department] shall develop and the
executive commissioner shall establish policies concerning
services described by this section. A child under three years of
age and the child's parent, guardian, or other legally authorized
representative [family] may be referred for services described by
this section if the child is:
(1) identified as having a developmental delay;
(2) suspected of having a developmental delay; or
(3) considered at risk of developmental delay.
SECTION 2. Chapter 73, Human Resources Code, is amended by
adding Sections 73.0111 and 73.012 to read as follows:
Sec. 73.0111. PROVIDER OMBUDSMAN. (a) In this section,
"ombudsman" means the individual designated as the ombudsman for
providers of services authorized under this chapter.
(b) The executive commissioner shall designate an ombudsman
for providers of services authorized under this chapter.
(c) The ombudsman's office is administratively attached to
the office of the ombudsman of the commission.
(d) The commission may use an alternate title for the
ombudsman in provider-directed materials if the commission
determines that the alternate title would benefit providers'
understanding of or access to ombudsman services.
(e) The ombudsman serves as a neutral party to assist
providers of services authorized under this chapter in resolving
issues related to providing early childhood intervention services
under this chapter, including through the STAR Kids managed care
program.
(f) The ombudsman shall:
(1) provide dispute and complaint resolution
services;
(2) perform provider protection and advocacy
functions;
(3) collect inquiry and complaint data; and
(4) at least annually, submit a report to the
commission relating to the inquiry and complaint data collected
under Subdivision (3) and make recommendations to the commission on
how to improve the provision of early childhood intervention
services under this chapter.
(g) The executive commissioner by rule shall adopt and
ensure the use of procedures for the reporting, monitoring, and
resolution of disputes and complaints described by Subsection (f)
that are consistent with the procedures adopted and used under
Medicaid.
Sec. 73.012. GUIDANCE ON REIMBURSEMENT METHODOLOGY FOR CASE
MANAGEMENT SERVICES. (a) The executive commissioner shall request
clear direction and guidance from the federal Centers for Medicare
and Medicaid Services on the reimbursement methodology that may be
used for the provision of case management services under this
chapter, including direction on allowable and unallowable costs.
(b) This section expires September 1, 2021.
SECTION 3. Subtitle B, Title 3, Human Resources Code, is
amended by adding Chapter 74 to read as follows:
CHAPTER 74. TELE-CONNECTIVE PILOT PROGRAM
Sec. 74.0001. DEFINITIONS. In this chapter:
(1) "Commission" means the Health and Human Services
Commission.
(2) "Education service center region" means a
geographic region served by a regional education service center
under Chapter 8, Education Code.
(3) "Eligible child" means a child who is eligible for
early childhood intervention services under Chapter 73.
(4) "Executive commissioner" means the executive
commissioner of the Health and Human Services Commission.
(5) "Tele-connective pilot program" means the program
developed and implemented under Section 74.0002.
(6) "Telehealth service" and "telemedicine medical
service" have the meanings assigned by Section 111.001, Occupations
Code.
Sec. 74.0002. TELE-CONNECTIVE PILOT PROGRAM. (a) The
commission shall develop and implement a pilot program to provide
early childhood intervention services under Chapter 73 to eligible
children through the provision of telehealth and telemedicine
medical services delivered using access points established in one
or more education service center regions selected for
implementation of the program. Access points may be established:
(1) at schools, regional education service centers,
and other entities located in an education service center region in
which the program is implemented;
(2) in home-based settings; and
(3) through other modes the commission determines
appropriate.
(b) In developing and implementing the tele-connective
pilot program, the commission shall ensure the program aligns with
the provision of existing telehealth and telemedicine medical
services.
Sec. 74.0003. EDUCATION SERVICE CENTER REGION SELECTION.
The commission in cooperation with the Texas Education Agency shall
select the education service center regions in which to implement
the tele-connective pilot program. In determining the regions in
which to implement the program, the commission and the Texas
Education Agency shall:
(1) consider each region in which there is:
(A) a low or inadequate number of service
providers authorized under Chapter 73; or
(B) a significant risk of losing service
providers authorized under Chapter 73; and
(2) implement the program only in regions in which the
implementation is reasonable and feasible.
Sec. 74.0004. PROVIDER PARTICIPATION. (a) The commission
shall ensure that all providers of services under Chapter 73,
including school districts, are allowed to participate as providers
in the tele-connective pilot program and provide services both
inside and outside a school-based setting.
(b) The commission shall track the service hours of
providers participating in the tele-connective pilot program.
Sec. 74.0005. ADEQUATE NETWORK OF ACCESS POINTS. (a) The
commission, in consultation with the Texas Education Agency, shall:
(1) establish any school-based provider access points
under the tele-connective pilot program; and
(2) ensure that an adequate number of school-based and
non-school-based access points are established in education
service center regions participating in the program.
(b) When selecting access points in which to implement the
tele-connective pilot program, the commission and the Texas
Education Agency shall consider the availability of existing
infrastructure.
Sec. 74.0006. AUTOMATIC AND VOLUNTARY PARTICIPATION OF
CERTAIN ELIGIBLE CHILDREN. (a) Subject to Subsection (b), the
executive commissioner shall, after receiving recommendations from
the advisory committee established under Section 73.004, by rule
establish which eligible children will be automatically enrolled in
the tele-connective pilot program.
(b) The parent, guardian, or other legally authorized
representative of an eligible child may, at any time, elect to opt
the child out of the tele-connective pilot program.
(c) A child who is enrolled in the tele-connective pilot
program may receive early childhood intervention services through
the program only to the extent the services are available and
suitable. Enrollment in the tele-connective pilot program does not
prevent a child from receiving early childhood intervention
services in the child's home or other natural environment.
Sec. 74.0007. SCHOOL DISTRICT EMPLOYEE TRAINING. The Texas
Education Agency shall develop a training course on the
tele-connective pilot program to be given to appropriate school
district employees.
Sec. 74.0008. INITIAL SCREENING AND EVALUATION. (a) The
parent, guardian, or other legally authorized representative of an
eligible child must be:
(1) present during an initial screening or evaluation
under the tele-connective pilot program; and
(2) given the opportunity to opt the child out of the
tele-connective pilot program at the time of the child's initial
screening or evaluation.
(b) Notwithstanding any other law, after a child is enrolled
in the tele-connective pilot program, early childhood intervention
services, including any initial treatment or prescription, that are
delivered or issued by a physician or by a health care provider
acting under the delegation or supervision of the physician or
under the health care provider's license may be provided using
telecommunications or other information technology.
Sec. 74.0009. PROVIDER REIMBURSEMENT. The executive
commissioner in adopting rules governing the tele-connective pilot
program shall ensure that provider reimbursement for a telehealth
or telemedicine medical service is made at a rate that is comparable
to the rate paid under Medicaid for the provision of the same or
substantially similar services.
Sec. 74.0010. CONFIDENTIALITY OF INFORMATION. The
commission shall ensure that the tele-connective pilot program
complies with federal and state law regarding confidentiality of
medical information, including the Health Insurance Portability
and Accountability Act of 1996 (42 U.S.C. Section 1320d et seq.) and
the Family Educational Rights and Privacy Act of 1974 (20 U.S.C.
Section 1232g).
Sec. 74.0011. ACCESS POINT EVALUATION. Not later than
September 1, 2020, the commission shall conduct an evaluation of
the tele-connective pilot program to ensure that an adequate number
of access points have been established in each education service
center region selected for implementation of the program. This
section expires January 1, 2021.
Sec. 74.0012. REPORT. Not later than January 1, 2021, the
commission shall submit an initial report to the governor, the
lieutenant governor, the speaker of the house of representatives,
and the presiding officers of the standing committees of the senate
and house of representatives having primary jurisdiction over the
early childhood intervention program authorized by Chapter 73. The
report must evaluate the operation of the tele-connective pilot
program and make recommendations regarding the continuation or
expansion of the program.
Sec. 74.0013. FUNDING. The commission shall actively seek
and apply for any available federal money to support the
tele-connective pilot program, including federal money made
available by the:
(1) Federal Communications Commission, including
money available under the federal Rural Health Care Program;
(2) United States Health Resources and Services
Administration's Office for the Advancement of Telehealth; and
(3) United States Department of Agriculture,
including the Distance Learning and Telemedicine Grant Program
established under 7 C.F.R. Part 1734.
Sec. 74.0014. EXPIRATION. This chapter expires September
1, 2023.
SECTION 4. Subchapter A, Chapter 302, Labor Code, is
amended by adding Section 302.0061 to read as follows:
Sec. 302.0061. WORKFORCE DEVELOPMENT GRANTS FOR PROVIDERS
UNDER EARLY CHILDHOOD INTERVENTION PROGRAM. (a) In this section,
"early childhood intervention program" means the program
established under Chapter 73, Human Resources Code, to provide
early childhood intervention services in accordance with Part C,
Individuals with Disabilities Education Act (IDEA)(20 U.S.C.
Section 1431 et seq.).
(b) The commission shall actively seek and apply for federal
funding to establish a program designed to provide workforce
development grants to providers participating in the early
childhood intervention program for purposes of improving the
provision of program services by offering providers appropriate
education and training.
SECTION 5. (a) The Health and Human Services Commission
shall request guidance from the federal Centers for Medicare and
Medicaid Services or other appropriate federal agency regarding the
feasibility of receiving a waiver or other authorization necessary
to provide through Medicaid early childhood intervention services
to children who are eligible to receive those services under
Chapter 73, Human Resources Code, as amended by this Act, but who
are not eligible for Medicaid and do not have private health
benefits coverage.
(b) As soon as practicable after receiving guidance under
Subsection (a) of this section, the Health and Human Services
Commission shall prepare a report on how best to provide to children
the coverage described by that subsection. The commission shall
submit the report to the governor, the lieutenant governor, the
speaker of the house of representatives, and the presiding officers
of the standing committees of the senate and house of
representatives having primary jurisdiction over the early
childhood intervention program authorized by Chapter 73, Human
Resources Code, as amended by this Act.
SECTION 6. (a) As soon as practicable after the effective
date of this Act, the Health and Human Services Commission, after
consulting with the Texas Education Agency, other appropriate state
agencies, and the advisory committee established under Section
73.004, Human Resources Code, shall conduct a financial evaluation
of the early childhood intervention services provided under Chapter
73, Human Resources Code, as amended by this Act, and report on that
evaluation. The report must quantify the amount by which providing
early childhood intervention services in this state affects other
budget strategies, including the budget strategies of school
districts, regional education service centers, and other affected
governmental entities.
(b) Not later than September 1, 2020, the Health and Human
Services Commission shall submit the report prepared under
Subsection (a) of this section to the governor, the lieutenant
governor, the speaker of the house of representatives, and the
presiding officers of the standing committees of the senate and
house of representatives having primary jurisdiction over the early
childhood intervention program authorized by Chapter 73, Human
Resources Code, as amended by this Act.
SECTION 7. Not later than December 1, 2019, the Health and
Human Services Commission shall issue guidance to health benefit
plan issuers clarifying that providers of early childhood
intervention services under Chapter 73, Human Resources Code, as
amended by this Act, must file claims using the national provider
identifier number and Texas provider identifier number.
SECTION 8. As soon as practicable after the effective date
of this Act, but not later than January 1, 2020, the Health and
Human Services Commission shall develop and implement the
tele-connective pilot program required by Chapter 74, Human
Resources Code, as added by this Act.
SECTION 9. 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 10. This Act takes effect September 1, 2019.