By: Rodríguez S.B. No. 2226               A BILL TO BE ENTITLED   AN ACT   relating to the renewal of the Texas Health Care Transformation and   Quality Improvement Program waiver under Medicaid.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Chapter 531, Government Code, is amended by   adding Subchapter N-1 to read as follows:   SUBCHAPTER N-1. TEXAS HEALTH CARE TRANSFORMATION AND QUALITY   IMPROVEMENT PROGRAM WAIVER          Sec. 531.521.  RENEWAL REQUIREMENTS. Any renewal of the   Texas Health Care Transformation and Quality Improvement Program   waiver issued under Section 1115 of the federal Social Security Act   (42 U.S.C. Section 1315) must:                (1)  allocate funding to hospitals and other safety net   providers to ensure the financial viability of the hospitals and   providers;                (2)  provide incentives for:                      (A)  developing and expanding local and regional   health care systems in order to reduce health care costs and   increase the amount and types of health care services provided to   uninsured persons; and                      (B)  encouraging Medicaid recipients to actively   participate in their health care and engage in healthy behaviors;                (3)  provide a continuum of health care services for   Medicaid recipients that includes:                      (A)  preventive care;                      (B)  primary care;                      (C)  specialty care;                      (D)  outpatient services;                      (E)  inpatient services;                      (F)  mental health services; and                      (G)  substance use services;                (4)  allow for variation in the manner Medicaid   services are delivered, including through the use of:                      (A)  managed care organizations;                      (B)  accountable care organizations; or                      (C)  health savings accounts; and                (5)  ensure that any additional federal matching funds   available are accepted and used to provide local and regional   health care services to otherwise uninsured persons.          SECTION 2.  This Act takes effect immediately if it receives   a vote of two-thirds of all the members elected to each house, as   provided by Section 39, Article III, Texas Constitution. If this   Act does not receive the vote necessary for immediate effect, this   Act takes effect September 1, 2017.