Enrolled Bill Summary

House Bill 1591 amends the Government Code to prohibit the determination of premium payment rates and other amounts paid to managed care organizations under the Medicaid managed care plan by basing the rates or amounts on encounter data, unless a certifier of encounter data finds the data to be complete, accurate, and reliable. The bill sets forth requirements for the appointment of a certifier, and it requires the Health and Human Services Commission to work with managed care organizations to encourage providers to report encounter data in a timely manner.