(a) A program established under this subchapter must:
(1) provide that home telemonitoring services are available only to an individual who:
(A) is diagnosed with one or more of the following conditions:
(i) pregnancy;
(ii) diabetes;
(iii) heart disease;
(iv) cancer;
(v) chronic obstructive pulmonary disease;
(vi) hypertension;
(vii) congestive heart failure;
(viii) mental illness or serious emotional disturbance;
(ix) asthma;
(x) myocardial infarction; or
(xi) stroke; and
(B) exhibits two or more of the following risk factors:
(i) two or more hospitalizations in the prior 12-month period;
(ii) frequent or recurrent emergency room admissions;
(iii) a documented history of poor adherence to ordered medication regimens;
(iv) a documented history of falls in the prior six-month period;
(v) limited or absent informal support systems;
(vi) living alone or being home alone for extended periods; and
(vii) a documented history of care access challenges;
(2) ensure that clinical information gathered by a home and community support services agency or hospital while providing home telemonitoring services is shared with the patient’s physician; and
(3) ensure that the program does not duplicate disease management program services provided under § 32.057, Human Resources Code.
(b) Notwithstanding Subsection (a)(1), a program established under this subchapter must also provide that home telemonitoring services are available to pediatric individuals who:
(1) are diagnosed with end-stage solid organ disease;
(2) have received an organ transplant; or
(3) require mechanical ventilation.

Text of section effective on April 01, 2025