Current through Reg. 49, No. 38; September 20, 2024
(a) Statutory
authority. The Value-Based Payment and Quality Improvement Advisory Committee
(VBPQIAC) is established under Texas Government Code §
531.012 and is
subject to §351.801 of this division (relating to Authority and General
Provisions).
(b) Purpose. The
VBPQIAC advises the Texas Health and Human Services (HHSC) Executive
Commissioner and Health and Human Services system agencies (HHS agencies) on
quality improvement and value-based payment initiatives for Medicaid, other
publicly funded health services, and the wider health care system.
(c) Tasks. The VBPQIAC performs the following
tasks:
(1) studies and makes recommendations
regarding:
(A) value-based payment and quality
improvement initiatives to promote better care, better outcomes, and lower
costs for publicly funded health care services;
(B) core metrics and a data analytics
framework to support value-based purchasing and quality improvement in Medicaid
and CHIP;
(C) HHSC and managed care
organization incentive and disincentive programs based on value; and
(D) the strategic direction for Medicaid and
CHIP value-based programs; and
(2) adopts bylaws to guide the operation of
the committee; and
(3) pursues
other deliverables consistent with its purpose to improve quality and
efficiency in state health care services as requested by the HHSC Executive
Commissioner or adopted into the work plan or bylaws of the
committee.
(d) Reporting
Requirements.
(1) No later than December 31st
of each year, the VBPQIAC files an annual written report with the HHSC
Executive Commissioner covering the meetings and activities in the immediately
preceding year. The report includes:
(A) a
list of the meeting dates;
(B) the
members' attendance records;
(C) a
brief description of the actions taken by the VBPQIAC;
(D) a description of how the committee
accomplished its tasks;
(E) a
description of the activities the VBPQIAC anticipates undertaking in the next
year;
(F) recommended amendments to
this section; and
(G) the costs
related to the VBPQIAC, including the cost of HHSC staff time spent supporting
the VBPQIAC's activities and the source of funds used to support the VBPQIAC's
activities.
(2) No later
than December 1st of each even-numbered year, the VBPQIAC submits a written
report to the HHSC Executive Commissioner and Texas Legislature that:
(A) describes current trends and identifies
best practices in health care for value-based payment and quality improvement;
and
(B) provides recommendations
consistent with the purposes of the VBPQIAC.
(e) Meetings.
(1) Open meetings. The VBPQIAC complies with
the requirements for open meetings under Texas Government Code Chapter 551, as
if it were a governmental body.
(2)
Frequency. The VBPQIAC will meet at least twice each year.
(3) Quorum. A majority of members constitutes
a quorum for the purpose of transacting official business. (To calculate a
majority for a committee with an even number of members, divide the membership
by two and add one; for a committee with an odd number of members, divide the
membership by two and round up to the next whole number.)
(f) Membership.
(1) The VBPQIAC is composed of 19 voting
members and up to four non-voting ex officio members appointed by the HHSC
Executive Commissioner. In selecting members to serve on the VBPQIAC, HHSC
considers the applicants' qualifications, background, and interest in serving.
(A) The 19 voting members represent the
following categories:
(i) Medicaid managed
care organizations;
(ii)
hospitals;
(iii)
physicians;
(iv) nurses;
(v) pharmacies;
(vi) providers of long-term services and
supports;
(vii) academic systems;
and
(viii) other disciplines or
organizations with expertise in health care finance, delivery, or quality
improvement.
(B) Four
non-voting, ex officio members may be appointed to the VBPQIAC as determined by
the HHSC Executive Commissioner.
(2) In selecting voting members, the
Executive Commissioner considers ethnic and minority representation and
geographic representation.
(3)
Members are appointed for staggered terms so that the terms of an equal or
almost equal number of members expire on December 31 of each year. Regardless
of the term limit, a member serves until his or her replacement has been
appointed. This ensures sufficient, appropriate representation.
(A) If a vacancy occurs, the HHSC Executive
Commissioner will appoint a person to serve the unexpired portion of that
term.
(B) Except as necessary to
stagger terms, the term of each member is four years. A member may apply to
serve one additional term.
(C) This
subsection does not apply to ex officio members, who serve at the pleasure of
the HHSC Executive Commissioner and do not have the authority to vote on items
before the full committee.
(g) Officers. The VBPQIAC selects a chair and
vice chair of the committee from among its members.
(1) The chair serves until December 31 of
each odd-numbered year. The vice chair serves until December 31 of each
even-numbered year.
(2) A member
may serve up to two consecutive terms as chair or vice chair.
(3) A member is not eligible to serve in the
role of chair or vice chair once another person has been appointed to fill the
member's position on the VBPQIAC.
(h) Required Training. Each member must
complete training on relevant statutes and rules, including this section,
§351.801 of this division, Texas Government Code §
531.012, Texas
Government Code Chapters 551, 552, and 2110, the HHS Ethics Policy, and other
relevant HHS policies. Training will be provided by HHSC.
(i) Travel Reimbursement. Unless permitted by
the current General Appropriations Act, members of the VBPQIAC are not paid to
participate in the VBPQIAC nor reimbursed for travel to and from
meetings.
(j) Date of abolition.
The VBPQIAC is abolished and this section expires on December 31,
2027.
