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 Section 533.004, Government Code, is repealed.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