By: Bonnen of Galveston H.B. No. 3634       A BILL TO BE ENTITLED   AN ACT   relating to the amendment of the Texas Health Care Transformation   and Quality Improvement Program waiver.          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.  AMENDMENT OF TEXAS HEALTH CARE TRANSFORMATION   AND QUALITY IMPROVEMENT PROGRAM WAIVER. Notwithstanding any other   law, the commission shall seek to amend 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) to:                (1)  reinstate the eligibility criteria for Medicaid   that existed on December 31, 2013, including by reinstating income   limits and asset test requirements that existed on that date,   eliminating income disregards that have been implemented since that   date, and discontinuing the use of the modified adjusted gross   income (MAGI) income eligibility methodology;                (2)  ensure that the eligibility certification period   for Medicaid is six months;                (3)  prohibit recipients enrolled in a Medicaid managed   care plan from enrolling in a different Medicaid managed care plan   at any time during the 6-month period after the date of enrollment   in the plan without cause, to the extent not prohibited by federal   law;                (4)  reinstate the eligibility criteria for the child   health plan program that existed immediately before the effective   date of Chapter 1353 (H.B. 109), Acts of the 80th Legislature,   Regular Session, 2007, including by reinstating asset test   requirements that existed immediately before that date,   eliminating income disregards that have been implemented since that   date, and discontinuing the use of the modified adjusted gross   income (MAGI) income eligibility methodology;                (5)  ensure that the eligibility certification period   for the child health plan program is six months;                (6)  require Medicaid recipients and child health plan   program enrollees to participate in a health insurance premium   payment reimbursement program if the employer-sponsored coverage   available to the recipient or enrollee meets benchmarks established   by the commission;                (7)  authorize the commission to establish a system in   which employers may pay all or part of the share of a premium   required to be paid by a recipient or enrollee described by   Subdivision (6);                (8)  require Medicaid recipients to pay copayments for   services provided under Medicaid to the same extent copayments   for   the same or similar services are required under the child health   plan program;                (9)  authorize the imposition of fees on Medicaid   recipients and child health plan program enrollees for missed   health care appointments that are more comparable to those imposed   in the private market;                (10)  require adult Medicaid recipients to sign a   personal responsibility agreement similar to the agreement   required for adult recipients of financial assistance benefits   under Section 31.0031, Human Resources Code;                 (11)  ensure that the commission has broad authority to   evaluate new and innovative payment and service delivery models for   Medicaid by implementing pilot programs to test those models,   including pilot programs to evaluate the direct primary care   payment model, bundled payment models, and the delivery of services   through accountable care organizations, without the need to seek   additional waivers or authorizations for implementation of those   pilot programs; and                (12)  operate Medicaid under a block grant funding   system based on population and cost growth trends.          SECTION 2.  Chapter 537, Government Code, is repealed.          SECTION 3.  Not later than October 1, 2017, the Health and   Human Services Commission shall apply to the federal Centers for   Medicare and Medicaid Services to amend 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), as required by Subchapter N-1, Government Code, as added by   this Act.          SECTION 4.  This Act takes effect September 1, 2017.