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A BILL TO BE ENTITLED
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AN ACT
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relating to the repeal of certain contracting requirements under |
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the Medicaid managed care delivery model. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 533.003(a), Government Code, is amended |
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to read as follows: |
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(a) In awarding contracts to managed care organizations, |
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the commission shall: |
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(1) give preference to organizations that have |
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significant participation in the organization's provider network |
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from each health care provider in the region who has traditionally |
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provided care to Medicaid and charity care patients; |
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(2) give extra consideration to organizations that |
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agree to assure continuity of care for at least three months beyond |
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the period of Medicaid eligibility for recipients; |
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(3) consider the need to use different managed care |
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plans to meet the needs of different populations; |
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(4) consider the ability of organizations to process |
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Medicaid claims electronically; and |
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(5) in the initial implementation of managed care in |
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the South Texas service region, give extra consideration to an |
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organization that [either: |
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[(A)] is locally owned, managed, and operated, if |
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one exists[; or |
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[(B) is in compliance with the requirements of |
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Section 533.004]. |
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SECTION 2. Section 533.004, Government Code, is repealed. |
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SECTION 3. The changes in law made by this Act apply only to |
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a contract awarded by the Health and Human Services Commission that |
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is fully executed and has not reached its operational start date on |
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or after the effective date of this Act. |
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SECTION 4. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 5. This Act takes effect immediately if it receives |
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a vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect September 1, 2023. |