Relating to implementation of certain health care provider initiatives and measures designed to reduce costs and improve recipient health outcomes under Medicaid. Senate Bill 1136 amends the Government Code to provide for the implementation of initiatives based on best practices and models that are designed to reduce Medicaid recipients’ use of hospital emergency room services as a primary means of receiving health care benefits, including initiatives designed to improve recipients’ access to and use of primary care providers. The bill also requires the Health and Human Services Commission to 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. The bill requires a biannual report to the legislature regarding the initiatives and continued implementation efforts.