HB2994 - Relating to a report by the Health and Human Services Commission on Medicaid eligibility determinations.

  89R5361 AND-D     By: Guillen H.B. No. 2994       A BILL TO BE ENTITLED   AN ACT   relating to a report by the Health and Human Services Commission on   Medicaid eligibility determinations.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  (a) In this section, "commission" means the   Health and Human Services Commission.          (b)  The commission shall prepare a written report on the   time frames within which Medicaid eligibility determinations were   made based on Medicaid applications submitted to the commission   each state fiscal year beginning with the state fiscal year ending   August 31, 2018. The report must include:                (1)  for each state fiscal year covered by the report:                      (A)  the total number of Medicaid applications   submitted to the commission;                      (B)  the total number of Medicaid applications the   commission approved in accordance with the time frames described by   1 T.A.C. Section 358.530(a);                      (C)  the total number of Medicaid applications the   commission denied in accordance with the time frames described by 1   T.A.C. Section 358.530(a) and the reason for each denial;                      (D)  the total number of Medicaid applications the   commission approved in a time frame that exceeded the time frames   described by 1 T.A.C. Section 358.530(a);                      (E)  the total number of Medicaid applications the   commission denied because the eligibility determination was not   made in accordance with the time frames described by 1 T.A.C.   Section 358.530(a);                      (F)  the average number of days between the date a   Medicaid application was submitted to the commission and the date   the application was approved or denied; and                      (G)  the median number of days between the date a   Medicaid application was submitted to the commission and the date   the application was approved or denied;                (2)  the total number of Medicaid applications   submitted to the commission that are pending on the date the report   required by this subsection is prepared and, for each of those   applications, the number of days that have elapsed between the date   the application was submitted and the date the report is prepared;   and                (3)  the highest number of days that elapsed between   the date a Medicaid application was submitted to the commission in   any state fiscal year and the date the application was approved or   denied.          (c)  Not later than December 1, 2026, the commission shall   prepare and submit to the governor, lieutenant governor, speaker of   the house of representatives, and legislature the written report   the commission prepares under Subsection (b) of this section.          SECTION 2.  This Act expires December 31, 2026.          SECTION 3.  This Act takes effect September 1, 2025.