HB 4666

relating to streamlining the deadlines for the Health and Human
Services Commission to submit certain required reports to the
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Section 532.0453, Government Code, is amended to
Sec. 532.0453.  CONTINUED IMPLEMENTATION OF CERTAIN
INTERVENTIONS AND BEST PRACTICES BY PROVIDERS; [BIANNUAL] REPORT
EVERY EVEN-NUMBERED YEAR.  (a) The commission shall encourage
Medicaid providers to continue implementing effective
interventions and best practices associated with improvements in
the health outcomes of Medicaid recipients that were developed and
achieved under the Delivery System Reform Incentive Payment (DSRIP)
program previously operated under 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
(1)  existing provider incentive programs and the
creation of new provider incentive programs;
(2)  the terms included in contracts with Medicaid
(3)  implementation of alternative payment models; or
(4)  adoption of other cost-effective measures.
(b)  The commission shall [biannually] prepare and submit a
report in every even-numbered year to the legislature that contains
a summary of the commission's efforts under this section and
SECTION 2.  Section 542.0054, Government Code, is amended to
Sec. 542.0054.  [ANNUAL] REPORT EVERY EVEN-NUMERED YEAR ON
IMPLEMENTATION.  (a) Not later than September 30 of each
even-numbered year, the commission, in consultation and
collaboration with the advisory committee, shall prepare and submit
a report to the legislature that must include:
(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 as described by this
(2)  recommendations regarding implementation of and
improvements to the system redesign, including recommendations
regarding appropriate statutory changes to facilitate the
(3)  an assessment of the effect of the system on the
(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 a person's inclusion in the
(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
(G)  employment assistance and customized,
integrated, competitive employment options; and
(H)  the number and types of fair hearing and
appeals processes in accordance with applicable federal law.
(b)  This section expires on the second anniversary of the
date the commission completes implementation of the transition
required under Sections 542.0201, 542.0202, and 542.0203 [Section
SECTION 3.  The heading of Section 543A.008, Government
Code, is amended to read as follows: [ANNUAL] REPORT EVERY
SECTION 4.  Section 543A.008(a), Government Code, is amended
Sec. 543A.008.  [ANNUAL] REPORT EVERY EVEN-NUMBERED
YEAR.  (a) The commission shall submit to the legislature and make
available to the public in every even-numbered year [an annual]
(1)  the quality-based outcome and process measures
developed under Sections 543A.0002 and 543A.0003 [Section
536.003], including measures based on each potentially preventable
(2)  the progress of the implementation of
quality-based payment systems under Section 543A.0004 and other
payment initiatives implemented under this chapter.
SECTION 5.  If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 6.  The Health and Human Services Commission is
required to implement a provision of this Act only if the
legislature appropriates money specifically for that purpose.  If
the legislature does not appropriate money specifically for that
purpose, the commission may, but is not required to, implement a
provision of this Act using other appropriations available for that
SECTION 7.  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, 2025.