Amend CSSB 1105 (house committee report) as follows:
(1) Add the following appropriately numbered SECTION to the bill and renumber subsequent SECTIONS of the bill accordingly:
SECTION ____. Section 533.005, Government Code, is amended by adding Subsection (l) to read as follows:
(l) In addition to the requirements of Subsection (a), the commission shall ensure a contract described by that subsection contains:
(1) a requirement that, on any claim for payment that is received without documentation reasonably necessary for the managed care organization to process the claim, the managed care organization make payment to a physician or provider for health care services rendered to a recipient under a managed care plan offered by the managed care organization not later than the 30th day after the date the organization receives the documentation necessary to process the claim; and
(2) a requirement that a project to fix the managed care organization's claims processing system last not longer than 60 days and that the organization make payment on a claim that is pending because of the project not later than the 30th day after the date the project is completed.
(2) On page 13, line 1, strike "Section 533.00284" and substitute "Sections 533.00284 and 533.005(l)".
(3) On page 13, line 2, strike "applies" and substitute "apply".
(4) On page 13, line 10, strike "Section 533.00284" and substitute "Sections 533.00284 and 533.005(l)".