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Enrolled Bill Summary

Enrolled Bill Summary

Legislative Session: 81(R)

Senate Bill 531

Senate Author:  Patrick, Dan et al.

Effective:  9-1-09

House Sponsor:  Zerwas


            Senate Bill 531 amends the Government Code to require the Health and Human Services Commission, if  cost-effective and feasible, to expand the Medicaid billing coordination system and to process claims for all other health care services provided through the Medicaid program in the manner claims for acute care services are currently processed by the system, except for claims being processed by an alternative billing coordination system prior to September 1, 2009.

            Senate Bill 531 amends the Human Resources Code to require the commission to provide reimbursement under Medicaid to a licensed pharmacist who is authorized to administer immunizations and who administers an immunization to a Medicaid enrollee to the same extent a physician or other health care provider is reimbursed for the administration of that immunization. The bill sets forth requirements of third-party health insurers relating to Medicaid enrollees and to the state's activities in recovering certain Medicaid payments.