RECIPIENT ACCOUNTABILITY PROVISIONS; COST-SHARING REQUIREMENT TO IMPROVE APPROPRIATE UTILIZATION OF SERVICES
(a)To the extent permitted under and in a manner that is…#
(a) To the extent permitted under and in a manner that is consistent with Title XIX, Social Security Act (42 U.S.C. Section 1396 et seq.) and any other applicable law or regulation or under a federal waiver or other authorization, the executive commissioner shall adopt cost-sharing provisions that encourage personal accountability and appropriate utilization of health care services, including a cost-sharing provision applicable to a recipient who chooses to receive a nonemergency medical service through a hospital emergency room.
(b)The commission may not seek a federal waiver or other…#
(b) The commission may not seek a federal waiver or other authorization under this section that would:
(1) prevent a Medicaid recipient who has a condition requiring emergency medical services from receiving care through a hospital emergency room; or
(2) waive any provision under Section 1867, Social Security Act (42 U.S.C. Section 1395dd). Added by Acts 2007, 80th Leg., R.S., Ch. 268 (S.B. 10 ), Sec. 20, eff. September 1, 2007. Amended by: Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7 ), Sec. 1.09(b), eff. September 28, 2011. Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219 ), Sec. 4.139, eff. April 2, 2015. Acts 2015, 84th Leg., R.S., Ch. 837 (S.B. 200 ), Sec. 3.37, eff. January 1, 2016. Acts 2015, 84th Leg., R.S., Ch. 946 (S.B. 277 ), Sec. 2.34, eff. January 1, 2016.