| |
| |
|
|
A BILL TO BE ENTITLED
|
|
|
AN ACT
|
|
|
relating to a prohibition on delivering dental services under the |
|
|
Medicaid program and the child health plan program through a |
|
|
managed care model or arrangement in certain counties. |
|
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
|
SECTION 1. Section 533.0025, Government Code, is amended by |
|
|
adding Subsection (g) to read as follows: |
|
|
(g) The commission may not provide medical assistance for |
|
|
dental services under the Medicaid program through a Medicaid |
|
|
managed care model or arrangement in Cameron County or Hidalgo |
|
|
County. |
|
|
SECTION 2. Subchapter D, Chapter 62, Health and Safety |
|
|
Code, is amended by adding Section 62.162 to read as follows: |
|
|
Sec. 62.162. DENTAL SERVICES. The commission may not |
|
|
authorize dental services to be provided under the child health |
|
|
plan program through a managed care model or arrangement in Cameron |
|
|
County or Hidalgo County. |
|
|
SECTION 3. (a) The Health and Human Services Commission |
|
|
shall seek to amend contracts entered into with managed care |
|
|
organizations providing dental services under the Medicaid program |
|
|
under Chapter 533, Government Code, before the effective date of |
|
|
this Act to comply with Section 533.0025(g), Government Code, as |
|
|
added by this Act. To the extent of a conflict between that section |
|
|
and a provision of a contract with a managed care organization |
|
|
entered into before the effective date of this Act, the contract |
|
|
provision prevails. |
|
|
(b) The Health and Human Services Commission shall seek to |
|
|
amend contracts entered into with managed care organizations |
|
|
providing dental services under the child health plan program under |
|
|
Chapter 62, Health and Safety Code, before the effective date of |
|
|
this Act to comply with Section 62.162, Health and Safety Code, as |
|
|
added by this Act. To the extent of a conflict between that section |
|
|
and a provision of a contract with a managed care organization |
|
|
entered into before the effective date of this Act, the contract |
|
|
provision prevails. |
|
|
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 on the 91st day after the last day of the |
|
|
legislative session. |