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A BILL TO BE ENTITLED
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AN ACT
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relating to transparency in the STAR Medicaid managed care |
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rate-setting process. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter A, Chapter 533, Government Code, is |
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amended by adding Section 533.01314 to read as follows: |
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Sec. 533.01314. TRANSPARENCY OF PREMIUM PAYMENT |
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RATE-SETTING PROCESS FOR STAR MEDICAID MANAGED CARE PROGRAM. The |
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commission shall ensure the transparency of the premium payment |
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rate-setting process for the STAR Medicaid managed care program by |
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publishing actuarial reports: |
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(1) in a format that allows for tracing data and |
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formulas across attachments, exhibits, and examples; and |
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(2) that clearly identify and describe: |
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(A) the methodology by which the executive |
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commissioner set the payment rates; |
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(B) the data sources used; |
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(C) the components of the process that are |
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assumptions and how the assumptions are developed; and |
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(D) multipliers and factors used throughout the |
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reports, including the source and purpose of the multipliers and |
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factors. |
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SECTION 2. If before implementing any provision of this Act |
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a state agency determines that authorization from a federal agency |
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is necessary for implementation of that provision, the agency |
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affected by the provision shall request the authorization and may |
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delay implementing that provision until the authorization is |
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granted. |
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SECTION 3. This Act takes effect September 1, 2015. |