Healthcare Access

Healthcare Access Related Bills that are relevant to Center research foci and of interest to the TX RPC Project can be viewed here. This tracker does not encompass all healthcare access related bills. To see additional bills, please visit the Texas Legislature Online website.

Medicaid/Medicare Related Bills

Bill # Author Status Brief Description Past Bills (2019)
HB 105 State Rep. Evelina Ortega Filed - 11/09/20 The commission will allow each medicaid managed care organization providing health care services under the STAR medicaid managed care program to categorize services provided by a promotora or community health worker as a quality improvement cost, as authorized by federal law, instead of as an administrative expense. Companion Bill: SB 136
HB 122 State Rep. Diego Bernal Filed - 11/09/20 A qualifying caregiver is entitled to an exemption from taxation of the total appraised value of the qualifying caregiver's residence homestead. A qualifying caregiver is eligible to receive an exemption under this section only for the period during which the qualifying individual for whom the qualifying caregiver provides care is on an interest list for long-term services and supports under the Medicaid program, including services and supports provided under a Section 1915(c) waiver program, the STAR Kids Managed care program, or the STAR+PLUS home and community-based services and supports program.
HB 131 State Rep. Diego Bernal Filed - 11/09/20 The commission will provide medical assistance to all persons who apply for that assistance and for whom federal matching funds are available under the Patient Protection and Affordable Care Act (Pub. L. No. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152), to provide that assistance.
HB 143 State Rep. Diego Bernal Filed - 11/09/20 On the request of a county and notwithstanding any other law, the executive commissioner will, on behalf of the county, seek a waiver under Section 1115 of the Social Security Act (42 U.S.C. Section 1315) to the state medicaid plan to expand the categories of persons eligible for Medicaid benefits by allowing the county to provide medicaid benefits to any resident of the county.
HB 158 State Rep. Shawn Nicole Thierry Filed - 11/09/20 The commission shall provide medical assistance reimbursement for services provided by a doula, including childbirth education and emotional and physical support provided during pregnancy, labor, birth, and the postpartum period. The executive commissioner by rule shall determine the qualifications necessary for an individual to be considered a doula and the doula services to be covered under the medical assistance program.
HB 165 State Rep. Diego Bernal Filed - 11/09/20 The commission will develop and implement a program to provide financial assistance to eligible Medicaid recipients who are in need of the assistance for purposes of receiving or continuing necessary health care services that have been delayed or denied under Medicaid, including care that has been denied pending appeal. Financial assistance under the program must be provided in the form of direct reimbursements to health care providers.
HB 171 State Rep. Diego Bernal Filed - 11/09/20 The commission shall provide medical assistance to all persons who apply for that assistance and for whom federal matching funds are available under the Patient Protection and Affordable Care Act. Companion Bills: SB 38SB 118SB 119
HB 270 State Rep. Senfronia Thompson Filed - 11/09/20 The executive commissioner shall set a personal needs allowance of not less than $75 a month for a resident of a convalescent or nursing facility or related institution who receives medical assistance. The commission may send the personal needs allowance directly to a resident who receives Supplemental Security Income.
HB 389 State Rep. Celia Israel Filed - 11/09/20 The commission shall provide medical assistance to all persons who apply for that assistance and for whom federal matching funds are available under the Patient Protection and Affordable Care Act. Companion Bill: SB 38SB 118SB 119HB 398
HB 398 State Rep. John H. Bucy, III Filed - 11/09/20 The commission shall provide medical assistance to all persons who apply for that assistance and for whom federal matching funds are available under the Patient Protection and Affordable Care Act. Companion Bill: SB 38SB 119HB 389
HB 415 State Rep. Armando Lucio Walle Filed - 11/09/20 The department and other relevant entities, will study methods for using doula services to improve birth outcomes of women who face a disproportionately greater risk of poor birth outcomes, including the feasibility of providing Medicaid coverage for doula services. The department and the commission will post on their websites informational resources regarding doula services, including a description of doula services and the benefits of using doula services. The department, in consultation with other relevant entities, will develop a statewide, uniform curriculum for an optional doula certification.
HB 484 State Rep. Matt Shaheen Filed - 11/10/20 The commission shall implement the direct primary care model pilot program for medicaid statewide.
HB 509 State Rep. Michelle Beckley Filed - 11/10/20 The commission will provide medical assistance to all persons who apply for that assistance and for whom federal matching funds are available.
HB 510 State Rep. Michelle Beckley Filed - 11/10/20 A medicaid buy-in program for medicaid recipients with increased household income from employment.
HB 511 State Rep. Michelle Beckley Filed - 11/10/20 A medicaid buy-in program for medicaid recipients with increased household income from employment with a small business.
HB 513 State Rep. Michelle Beckley Filed - 11/10/20 On the request of the commissioners court of a county and notwithstanding any other law, the executive commissioner will , on behalf of the county, seek a waiver under Section 1115 of the Social Security Act (42 U.S.C. Section 1315) to the state medicaid plan to expand to the maximum extent permitted by federal law the categories of persons eligible for medicaid benefits by allowing the county to provide medicaid benefits to any resident of the county.
HB 705 State Rep. Joe Moody Filed - 12/02/20 The executive commissioner, with input from the work group established under Subsection (c), shall adopt rules to provide medicaid reimbursement for peer-to-peer services provided by recovery community organizations.
HB 706 State Rep. Joe Moody Filed - 12/02/20 Subject to appropriations, the commission shall assure that a recipient of medical assistance under this chapter may select a licensed psychologist, a licensed marriage and family therapist, as defined by Section 502.002, Occupations Code, a licensed professional counselor, as defined by Section 503.002, Occupations Code, or a licensed clinical [master] social worker, as defined by Section 505.002, Occupations Code, to perform any health care service or procedure covered under the medical assistance program if the selected person is authorized by law to perform the service or procedure.

HB 734

State Rep. Jessica Gonzalez Filed - 12/03/20 The commission shall provide medical assistance in accordance with 8 U.S.C. Section 1612(b) to a person who: (1) is a qualified alien, as defined by 8 U.S.C. Sections 1641(b) and (c); (2) meets the eligibility requirements of the medical assistance program; (3) entered the United States on or after August 22, 1996; and (4) has resided in the United States for a period of five years after the date the person entered as a qualified alien.

HB 843

State Rep. Ray Lopez Filed - 12/15/20 Relating to health benefit plan coverage for early childhood intervention services. Companion Bill HB 908

HB 907

State Rep. Julie Johnson Filed - 12/23/20 A health benefit plan issuer that provides prescription drug benefits may not require prior authorization of the prescription drug benefit for a prescription drug prescribed to treat a chronic or autoimmune disease.

HB 908

State Rep. Julie Johnson Filed - 12/23/20 Relating to health benefit plan coverage for early childhood intervention services. Companion Bill HB 843

HB 922

State Rep. Ron Reynolds Filed - 12/31/20 If the federal government establishes, through conversion or otherwise, a block grant funding system for the medicaid program or otherwise authorizes the state medicaid program to operate under a block grant funding system, including under a medicaid program waiver, the commission, in cooperation with applicable health and human services agencies, shall administer and operate the state medicaid program in accordance with this chapter.

HB 939

State Rep. Ron Reynolds Filed - 1/04/21 A contract between a managed care organization and the commission for the organization to provide health care services to recipients must contain certain items.
SB 38 State Sen. Judith Zaffirini Received by the Secretary of the Senate - 11/09/20 The commission shall provide medical assistance to all persons who apply for that assistance and for whom federal matching funds are available under the Patient Protection and Affordable Care Act (Pub. L. No. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152), to provide that assistance. Companion Bills: HB 171HB 389, HB 398SB 119 
SB 50 State Sen. Judith Zaffirini Received by the Secretary of the Senate - 11/09/20 The executive commissioner by rule shall develop a uniform process that complies with the policy adopted under Section 531.02447 to assess the goals of and competitive and integrated employment opportunities and related employment services available to an individual to whom this section applies and use the identified goals and available opportunities and services to direct the individual's plan of care at the time the plan is developed or renewed.
SB 73 State Sen. Borris L. Miles Received by the Secretary of the Senate - 11/09/20 The executive commissioner shall establish a separate provider type for local health departments, including health service regional offices acting in the capacity of local health departments, for purposes of enrollment as a provider for and reimbursement under the medical assistance program.
SB 96 State Sen. Jose Menendez Received by the Secretary of the Senate - 11/09/20 A school district may contract with a local mental health authority to provide mental health services on a campus of the district.
SB 117 State Sen. Nathan Johnson Received by the Secretary of the Senate - 11/09/20 The executive commissioner shall develop and seek a waiver under Section 1115 of the Social Security Act (42 U.S.C. Section 1315) to the state medicaid plan to implement the Live Well Texas program to assist individuals in obtaining health benefit coverage through a program health benefit plan or health care financial assistance.
SB 118 State Sen. Nathan Johnson Received by the Secretary of the Senate - 11/09/20 The commission shall provide medical assistance to all persons who apply for that assistance and for whom federal matching funds are available under the Patient Protection and Affordable Care Act (Pub. L. No. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152), to provide that assistance. Companion Bills: HB 171HB 389
SB 119 State Sen. Nathan Johnson Received by the Secretary of the Senate - 11/09/20 The commission shall provide medical assistance to all persons who apply for that assistance and for whom federal matching funds are available under the Patient Protection and Affordable Care Act (Pub. L. No. 111-148), as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. No. 111-152), to provide that assistance. Companion Bills: HB 171HB 389, HB 398SB 38
SB 136 State Sen. Nathan Johnson Received by the Secretary of the Senate - 11/09/20 The commission will allow each medicaid managed care organization providing health care services under the STAR medicaid managed care program to categorize services provided by a promotora or community health worker as a quality improvement cost, as authorized by federal law, instead of as an administrative expense. Companion Bill: HB 105
SB 171 State Sen. Cesar J. Blanco Received by the Secretary of the Senate - 11/10/20 The commission shall prepare a written report regarding provider reimbursement rates and access to care under medicaid. The commission shall collaborate with the medical care advisory committee established under Section 32.022, Human Resources Code, to develop and define the scope of the research for the report.
SB 191 State Sen. Nathan Johnson Received by the Secretary of the Senate - 11/13/20 In awarding contracts to managed care organizations, the commission will give extra consideration to organizations that use enriched data sets incorporating social determinants of health to manage socially complex populations in a manner that achieves.

Telehealth Related Bills

Bill # Author Status Brief Description Past Bills (2019)
HB 280 State Rep. Philip Cortez Filed - 11/09/20 The commission shall develop and implement an action plan to expand the use by health care providers of telemedicine medical services, telehealth services, and related mobile applications for those services and increase access to those services and applications for the residents of this state.
HB 515 State Rep. Tom Oliverson Filed - 11/10/20 A health benefit plan issuer must reimburse a preferred or contracted health professional for providing a covered health care service or procedure to a covered patient as a telemedicine medical service or telehealth service on the same basis and at least at the same rate that the issuer provides reimbursement to that health professional for the service or procedure in an in-person setting. Companion Bills: SB 228HB 522HB 980
HB 522 State Rep. Julie Johnson Filed - 11/10/20 A health benefit plan issuer must reimburse a preferred or contracted health professional for providing a covered health care service or procedure to a covered patient as a telemedicine medical service or telehealth service on the same basis and at least at the same rate that the issuer provides reimbursement to that health professional for the service or procedure in an in-person setting. Companion Bills: SB 228HB 515HB 980
HB 745 State Rep. Bobby Guerra Filed - 12/04/20 A school district may establish a telehealth program through which students and employees of the district may receive telehealth services during a school day.
HB 887 State Rep. Matt Shaheen Filed - 12/21/20 A health benefit plan issuer must reimburse a preferred or contracted health professional for providing a covered health care service or procedure to a covered patient as a telemedicine medical service or telehealth service on the same basis and at least at the same rate that the issuer provides reimbursement to that health professional for the service or procedure in an in-person setting. Companion Bills: SB 228
HB 980 State Rep. Art Fierro Filed - 1/06/21 A health benefit plan issuer must reimburse a preferred or contracted health professional for providing a covered health care service or procedure to a covered patient as a Previous telemedicine medical service or telehealth service on the same basis and at least at the same rate that the issuer provides reimbursement to that health professional for the service or procedure in an in-person setting. Companion Bills: SB 228, HB 515, HB 522,
SB 40 State Sen. Judith Zaffirini Received by the Secretary of the Senate - 11/09/20 A health professional may provide telehealth services in accordance with Chapter 111, Occupations Code, and any requirements imposed by the laws and rules governing the applicable health professional program administered by the department. Unless the context requires otherwise, a reference to a health professional performing "direct" observation of a patient, or providing "direct" care or services to a patient, shall include the provision of telehealth services.
SB 228 State Sen. Cesar J. Blanco Received by the Secretary of the Senate - 12/03/20 A health benefit plan issuer must reimburse a preferred or contracted health professional for providing a covered health care service or procedure to a covered patient as a Previous telemedicine medical service or telehealth service on the same basis and at least at the same rate that the issuer provides reimbursement to that health professional for the service or procedure in an in-person setting. Companion Bills: HB 515, HB 522, HB 887HB 980

Other Healthcare Access Bills

Bill # Author Status Brief Description Past Bills (2019)
HB 154 State Rep. Diego Bernal Filed - 11/09/20 The commission in consultation with the commissioner of insurance shall develop and implement a program that helps connect certain children in this state with health benefit plan coverage through private market solutions.
HB 508 State Rep. Michelle Beckley Filed - 11/10/20 A health benefit plan issuer may not: deny coverage to or refuse to enroll an individual in a health benefit plan on the basis of a preexisting condition, limit or exclude coverage under the health benefit plan for treatment of the individual's preexisting condition otherwise covered under the plan, or charge the individual more for coverage than the health benefit plan issuer charges an individual who does not have a preexisting condition.
HB 602 State Rep. Gina Hinojosa Filed - 11/18/20 Covered health care benefits under the program include all health care services determined to be clinically appropriate by a member's health care provider.
HB 609 State Rep. Donna Howard Filed - 11/19/20 This chapter applies only to a health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage or similar coverage document.
SB 166 State Sen. Cesar J. Blanco Received by the Secretary of the Senate - 11/10/20 A health benefit plan may not impose a cost-sharing provision for insulin if the total amount the enrollee is required to pay exceeds $25 for a 30-day supply.
SB 218 State Sen. Nathan Johnson Received by the Secretary of the Senate - 11/24/20 The covered services under the CHIP perinatal program must include, for each woman who gives birth to a child who is enrolled in the CHIP perinatal program before birth, screening and treatment for postpartum depression for the 12-month period after the date the woman gives birth to the child.
SB 264 State Sen. Jose Menendez Received by the Secretary of the Senate - 12/21/20 The Texas Research Consortium to Cure Infectious Diseases (TRANSCEND) is established to have certain duties.