HB4666 - Relating to certain reports required to be prepared or submitted by or in collaboration with the Health and Human Services Commission or submitted to the governor or a member of the legislature under the Health and Safety Code.

      H.B. No. 4666         AN ACT   relating to certain reports required to be prepared or submitted by   or in collaboration with the Health and Human Services Commission   or submitted to the governor or a member of the legislature under   the Health and Safety Code.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  The heading to Section 523.0154, Government   Code, is amended to read as follows:          Sec. 523.0154.  DATA ANALYSIS UNIT; ANNUAL REPORTS   [ QUARTERLY UPDATE ].          SECTION 2.  Section 523.0154(d), Government Code, is amended   to read as follows:          (d)  Not later than December 1 of each year [ the 30th day   following the end of each calendar quarter ], the data analysis unit   shall provide :                 (1)  a report [ an update ] on the unit's activities and   findings to the governor, the lieutenant governor, the Legislative   Budget Board, the speaker of the house of representatives, the   chair of the Senate Finance Committee, the chair of the House   Appropriations Committee, and the chairs of the standing committees   of the senate and house of representatives having jurisdiction over   Medicaid ; and                 (2)     a report of any anomalies identified by the unit   under Subsection (a)(3) to the commission's office of the inspector   general .          SECTION 3.  The heading to Section 532.0453, Government   Code, is amended to read as follows:          Sec. 532.0453.  CONTINUED IMPLEMENTATION OF CERTAIN   INTERVENTIONS AND BEST PRACTICES BY PROVIDERS; BIENNIAL   [ SEMIANNUAL ] REPORT.          SECTION 4.  Section 532.0453(b), Government Code, is amended   to read as follows:          (b)   Each even-numbered year, the [ The ] commission shall   [ semiannually ] prepare and submit to the legislature a report that   contains a summary of the commission's efforts under this section   and Section 532.0451(b).          SECTION 5.  Section 542.0054, Government Code, is amended to   read as follows:          Sec. 542.0054.   BIENNIAL [ ANNUAL ] REPORT ON IMPLEMENTATION.     (a)  Not later than September 30 of each even-numbered year, the   commission, in collaboration with the advisory committee, shall   prepare and submit to the legislature a report that includes:                (1)  an assessment of the implementation of the system   required by this chapter, including appropriate information   regarding the provision of acute care services and long-term   services and supports to individuals with an intellectual or   developmental disability under Medicaid;                (2)  recommendations regarding implementation of and   improvements to the system redesign, including recommendations   regarding appropriate statutory changes to facilitate the   implementation; and                (3)  an assessment of the effect of the system on:                      (A)  access to long-term services and supports;                      (B)  the quality of acute care services and   long-term services and supports;                      (C)  meaningful outcomes for Medicaid recipients   using person-centered planning, individualized budgeting, and   self-determination, including an individual's inclusion in the   community;                      (D)  the integration of service coordination of   acute care services and long-term services and supports;                      (E)  the efficiency and use of funding;                      (F)  the placement of individuals in housing that   is the least restrictive setting appropriate to an individual's   needs;                      (G)  employment assistance and customized,   integrated, competitive employment options; and                      (H)  the number and types of fair hearing and   appeals processes in accordance with federal law.          (b)  This section expires on the second anniversary of the   date the commission completes implementation of the transition   required under Section 542.0201.          SECTION 6.  Sections 542.0119(a) and (b), Government Code,   are amended to read as follows:          (a)  The commission, in collaboration with the advisory   committee and pilot program work group, shall review and evaluate   the progress and outcomes of the pilot program and submit, as part   of the [ annual ] report required under Section 542.0054, a report on   the pilot program's status that includes recommendations for   improving the pilot program.          (b)  Not later than September 1, 2026, the commission, in   collaboration with the advisory committee and pilot program work   group, shall prepare and submit to the legislature a written report   that evaluates the pilot program based on a comprehensive   analysis.  The analysis must:                (1)  assess the effect of the pilot program on:                      (A)  access to and quality of long-term services   and supports;                      (B)  informed choice and meaningful outcomes   using person-centered planning, flexible consumer-directed   services, individualized budgeting, and self-determination,   including a pilot program participant's inclusion in the community;                      (C)  the integration of service coordination of   acute care services and long-term services and supports;                      (D)  employment assistance and customized,   integrated, competitive employment options;                      (E)  the number, types, and dispositions of fair   hearings and appeals in accordance with federal and state law;                      (F)  increasing the use and flexibility of the   consumer direction model;                      (G)  increasing the use of alternatives to   guardianship, including supported decision-making agreements as   defined by Section 1357.002, Estates Code;                      (H)  achieving the best and most cost-effective   funding use based on a pilot program participant's needs and   preferences; and                      (I)  attendant recruitment and retention;                (2)  analyze the experiences and outcomes of the   following systems changes:                      (A)  the comprehensive assessment instrument   described by Section 533A.0335, Health and Safety Code;                      (B)  the 21st Century Cures Act (Pub. L.   No. 114-255);                      (C)  implementation of the federal rule adopted by   the Centers for Medicare and Medicaid Services and published at 79   Fed. Reg. 2948 (January 16, 2014) related to the provision of   long-term services and supports through a home and community-based   services (HCS) waiver program under Section 1915(c), 1915(i), or   1915(k) of the Social Security Act (42 U.S.C. Section 1396n(c),   (i), or (k));                      (D)  the provision of basic attendant and   habilitation services under Section 542.0152; and                      (E)  the benefits of providing STAR+PLUS Medicaid   managed care services to individuals based on functional needs;                (3)  include feedback on the pilot program based on the   personal experiences of:                      (A)  individuals with an intellectual or   developmental disability and individuals with similar functional   needs who were pilot program participants;                      (B)  families of and other persons actively   involved in the lives of individuals described by Paragraph (A);   and                      (C)  comprehensive long-term services and   supports providers who delivered services under the pilot program;                (4)  be incorporated in the [ annual ] report required   under Section 542.0054; and                (5)  include recommendations on:                      (A)  a system of programs and services for the   legislature's consideration;                      (B)  necessary statutory changes; and                      (C)  whether to implement the pilot program   statewide under the STAR+PLUS Medicaid managed care program for   eligible individuals.          SECTION 7.  Section 542.0151(b), Government Code, is amended   to read as follows:          (b)  The commission, in collaboration with the advisory   committee, shall analyze the outcomes of providing acute care   Medicaid benefits to individuals with an intellectual or   developmental disability under a model described by Subsection   (a).  The analysis must:                (1)  include an assessment of the effects of the   delivery model on:                      (A)  access to and quality of acute care services;   and                      (B)  the number and types of fair hearing and   appeals processes in accordance with federal law;                (2)  be incorporated into the [ annual ] report to the   legislature required under Section 542.0054; and                (3)  include recommendations for delivery model   improvements and implementation for the legislature's   consideration, including recommendations for needed statutory   changes.          SECTION 8.  Section 543A.0003(a), Government Code, is   amended to read as follows:          (a)  The [Text truncated for display. 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