By Gray H.B. No. 2236
76R7860 CLG-F
A BILL TO BE ENTITLED
1-1 AN ACT
1-2 relating to contracts for Medicaid managed care.
1-3 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-4 SECTION 1. Section 533.004(a), Government Code, is amended
1-5 to read as follows:
1-6 (a) In providing health care services through Medicaid
1-7 managed care to recipients in a health care service region, the
1-8 commission shall contract with a [at least one] managed care
1-9 organization [in that region] that:
1-10 (1) is licensed under the Texas Health Maintenance
1-11 Organization Act (Chapter 20A, Vernon's Texas Insurance Code) to
1-12 provide health care in that region and that is:
1-13 (A) [(1)] wholly owned and operated by a
1-14 hospital district in that region;
1-15 (B) [(2)] created by a nonprofit corporation
1-16 that:
1-17 (i) [(A)] has a contract, agreement, or
1-18 other arrangement with a hospital district in that region or with a
1-19 municipality in that region that owns a hospital licensed under
1-20 Chapter 241, Health and Safety Code, and has an obligation to
1-21 provide health care to indigent patients; and
1-22 (ii) [(B)] under the contract, agreement,
1-23 or other arrangement, assumes the obligation to provide health care
1-24 to indigent patients and leases, manages, or operates a hospital
2-1 facility owned by the hospital district or municipality; or
2-2 (C) [(3)] created by a nonprofit corporation
2-3 that has a contract, agreement, or other arrangement with a
2-4 hospital district in that region under which the nonprofit
2-5 corporation acts as an agent of the district and assumes the
2-6 district's obligation to arrange for services under the Medicaid
2-7 expansion for children as authorized by Chapter 444, Acts of the
2-8 74th Legislature, Regular Session, 1995; or
2-9 (2) holds a certificate of authority under Article
2-10 21.52F, Insurance Code, and that is:
2-11 (A) certified under Section 5.01(a), Medical
2-12 Practice Act (Article 4495b, Vernon's Texas Civil Statutes); and
2-13 (B) created by The University of Texas Medical
2-14 Branch at Galveston.
2-15 SECTION 2. The importance of this legislation and the
2-16 crowded condition of the calendars in both houses create an
2-17 emergency and an imperative public necessity that the
2-18 constitutional rule requiring bills to be read on three several
2-19 days in each house be suspended, and this rule is hereby suspended,
2-20 and that this Act take effect and be in force from and after its
2-21 passage, and it is so enacted.