By: Nelson, et al. S.B. No. 74     (Price)           A BILL TO BE ENTITLED   AN ACT   relating to the provision of certain behavioral health services to   children, adolescents, and their families under a contract with a   managed care organization.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Subchapter A, Chapter 533, Government Code, is   amended by adding Section 533.002552 to read as follows:          Sec. 533.002552.  TARGETED CASE MANAGEMENT AND PSYCHIATRIC   REHABILITATIVE SERVICES FOR CHILDREN, ADOLESCENTS, AND FAMILIES.   (a)  A provider in the provider network of a managed care   organization that contracts with the commission to provide   behavioral health services under Section 533.00255 may contract   with the managed care organization to provide targeted case   management and psychiatric rehabilitative services to children,   adolescents, and their families.          (b)  Commission rules and guidelines concerning contract and   training requirements applicable to the provision of behavioral   health services may apply to a provider that contracts with a   managed care organization under Subsection (a) only to the extent   those contract and training requirements are specific to the   provision of targeted case management and psychiatric   rehabilitative services to children, adolescents, and their   families.           (c)  Commission rules and guidelines applicable to a   provider that contracts with a managed care organization under   Subsection (a) may not require the provider to provide a behavioral   health crisis hotline or a mobile crisis team that operates 24 hours   per day and seven days per week. This subsection does not prohibit   a managed care organization that contracts with the commission to   provide behavioral health services under Section 533.00255 from   specifically contracting with a provider for the provision of a   behavioral health crisis hotline or a mobile crisis team that   operates 24 hours per day and seven days per week.           (d)  Commission rules and guidelines applicable to a   provider that contracts with a managed care organization to provide   targeted case management and psychiatric rehabilitative services   specific to children and adolescents who are at risk of juvenile   justice involvement, expulsion from school, displacement from the   home, hospitalization, residential treatment, or serious injury to   self, others, or animals may not require the provider to also   provide less intensive psychiatric rehabilitative services   specified by commission rules and guidelines as applicable to the   provision of targeted case management and psychiatric   rehabilitative services to children, adolescents, and their   families, if that provider has a referral arrangement to provide   access to those less intensive psychiatric rehabilitative   services.          (e)  Commission rules and guidelines applicable to a   provider that contracts with a managed care organization under   Subsection (a) may not require the provider to provide services not   covered under Medicaid.          SECTION 2.  Not later than January 1, 2018, the executive   commissioner of the Health and Human Services Commission shall   adopt rules and guidelines or amend existing rules and guidelines   as necessary to comply with the requirements of Section 533.002552,   Government Code, as added by this Act.          SECTION 3.  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.