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A BILL TO BE ENTITLED
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AN ACT
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relating to reimbursement for complex rehabilitation technology |
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equipment providers under the medical assistance program. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 32, Human Resources Code, |
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is amended by adding Section 32.03142 to read as follows: |
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Sec. 32.03142. COMPLEX REHABILITATION TECHNOLOGY EQUIPMENT |
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PROVIDERS. (a) In this section, "complex rehabilitation |
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technology equipment" means an item of equipment that is classified |
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on January 1, 2013, under the federal Medicare program as durable |
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medical equipment and that is specially configured to meet an |
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individual's specific and unique medical, physical, and functional |
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needs and to assist the individual in performing basic and |
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instrumental activities of daily living identified as medically |
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necessary. The term includes: |
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(1) a complex rehabilitation manual or power |
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wheelchair; |
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(2) an adaptive seating or positioning item; |
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(3) a standing frame; and |
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(4) a gait trainer. |
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(b) The department shall establish a separate provider type |
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for complex rehabilitation technology equipment providers for |
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purposes of enrollment as a provider and reimbursement under the |
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medical assistance program. The department may not classify complex |
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rehabilitation technology equipment providers under the durable |
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medical equipment provider type. |
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(c) The executive commissioner of the Health and Human |
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Services Commission by rule shall adopt separate reimbursement |
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rates for the provider type established under this section. The |
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reimbursement rates must be adequate to compensate providers for |
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all services provided, including product configuration and |
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training services. |
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SECTION 2. As soon as practicable after the effective date |
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of this Act, the Health and Human Services Commission shall |
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establish and implement a separate provider type for complex |
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rehabilitation technology equipment providers, and the executive |
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commissioner of the commission shall adopt rules providing for |
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separate reimbursement rates for those providers, as required by |
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Section 32.03142, Human Resources Code, as added by this Act. |
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SECTION 3. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 4. This Act takes effect immediately if it receives |
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a vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect September 1, 2015. |