SRC-JFA S.B. 1574 75(R)   BILL ANALYSIS


Senate Research Center   S.B. 1574
By: Madla
Health & Human Services
4-6-97
As Filed


DIGEST 

Currently, the health care delivery system under the state Medicaid
program was restructured by S.B. 10, which passed during the 74th
Legislature.  The new law contained a provision requiring each managed
care organization involved in the system to include in its provider
network each historical Medicaid health care provider who agrees to the
terms of the contract for not less than three years. Texas' 1115 waiver
from the ederal government to implement the statewide managed care
Medicaid program under S.B. 10 has not been approved.  The state has been
implementing managed care pilot programs in various regions under 1915(b)
waivers.  This bill would clarify that the three-year requirement for
contracting with historical Medicaid health care providers begins after
the date of implementation of managed care in each service area, not after
the date of implementation of S.B. 10. 
  
PURPOSE

As proposed, S.B. 1574 clarifies that the three-year requirement for
contracting with historical Medicaid health care providers by each managed
care organization involved in the state Medicaid program begins after the
date of implementation of managed care in each service area.   

RULEMAKING AUTHORITY

This bill does not grant any additional rulemaking authority to a state
officer, institution, or agency. 

SECTION BY SECTION ANALYSIS

SECTION 1.01  Amends Section 16A(a), Article 4413(50), V.T.C.S., to
require the Health and Human Services Commission (commission), in
developing the health care delivery system, among other items, to design
the system, among other items, to require that the commission, each
intergovernmental initiative, and each managed care organization, as
applicable, include in its provider network, not less than three years
after the date of implementation of managed care in a service area, each
health care provider in that area who, among other conditions, provided
care to Medicaid and charity care patients at a significant level, as
prescribed by the commission, during the 12 months preceding the date of
implementation.  

SECTION 2.01.  Amends Section 532.102(a), Government Code, as added by the
Act of the 75th Legislature, Regular Session, 1997, relating to
nonsubstantive additions to and corrections in enacted codes, to require
the commission, in developing the health care delivery system under this
chapter, to design the system in a certain manner.   

SECTION 3.01.  Effective date: September 1, 1997.

SECTION 3.02.  Provides that Article 1 takes effect only if the Act of the
75th Legislature, Regular Session, 1997, relating to nonsubstantive
additions to and corrections in enacted codes, does not take effect.  

SECTION 3.03.  Provides that Article 2 takes effect only if the Act of the
75th Legislature, Regular Session, 1997, relating to nonsubstantive
additions to and corrections in enacted codes, takes effect. 

SECTION 3.04.  Emergency clause.