88(R) HB 2727 - Enrolled version - Bill Text
 
 
  H.B.  No.  2727
 
 
 
 
AN ACT
  relating to the provision of home telemonitoring services under
  Medicaid.
               BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
               SECTION  1.    Section 531.001(4-a), Government Code, is
  amended to read as follows:
                           (4-a)    "Home telemonitoring service" means a health
  service that requires scheduled remote monitoring of data related
  to a patient's health and transmission of the data to a licensed
  home and community support services agency, a federally qualified
  health center, a rural health clinic, or a hospital, as those terms
  are defined by Section 531.02164(a). The term is synonymous with
  "remote patient monitoring."
               SECTION  2.    Section 531.02164, Government Code, is amended
  by amending Subsections (a), (b), (c), (c-1), (d), and (f) and
  adding Subsections (c-2) and (c-3) to read as follows:
               (a)    In this section:
                           (1)    "Federally qualified health center" has the
  meaning assigned by 42 U.S.C. Section 1396d(l)(2)(B).
                           (1-a)    "Home and community support services agency"
  means a person licensed under Chapter 142, Health and Safety Code,
  to provide home health, hospice, or personal assistance services as
  defined by Section 142.001, Health and Safety Code.
                           (2)    "Hospital" means a hospital licensed under Chapter
  241, Health and Safety Code.
                           (3)    "Rural health clinic" has the meaning assigned by
  42 U.S.C. Section 1396d(l)(1).
               (b)    The [If the commission determines that establishing a
  statewide program that permits reimbursement under Medicaid for
  home telemonitoring services would be cost-effective and feasible,
  the] executive commissioner [by rule] shall adopt rules for the
  provision and reimbursement of home telemonitoring services under
  Medicaid [establish the program] as provided under this section.
               (c)    For purposes of adopting rules [The program required]
  under this section, the commission shall [must]:
                           (1)    identify and provide home telemonitoring services
  to persons diagnosed with conditions for which the commission
  determines the provision of home telemonitoring services would be
  cost-effective and clinically effective;
                           (2)    consider providing home telemonitoring services
  under Subdivision (1)  [provide that home telemonitoring services
  are available only] to Medicaid recipients [persons] who:
                                       (A)    are diagnosed with one or more of the
  following conditions:
                                                   (i)    pregnancy;
                                                   (ii)    diabetes;
                                                   (iii)    heart disease;
                                                   (iv)    cancer;
                                                   (v)    chronic obstructive pulmonary disease;
                                                   (vi)    hypertension;
                                                   (vii)    congestive heart failure;
                                                   (viii)    mental illness or serious emotional
  disturbance;
                                                   (ix)    asthma;
                                                   (x)    myocardial infarction; [or]
                                                   (xi)    stroke;
                                                   (xii)    end stage renal disease; or
                                                   (xiii)    a condition that requires renal
  dialysis treatment; and
                                       (B)    exhibit at least one [two or more] of the
  following risk factors:
                                              

Statutes affected:
Introduced: Government Code 531.02164 (Government Code 531)
House Committee Report: Government Code 531.02164 (Government Code 531)
Engrossed: Government Code 531.02164 (Government Code 531)
Senate Committee Report: Government Code 531.02164 (Government Code 531)
Enrolled: Government Code 531.02164 (Government Code 531)