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A BILL TO BE ENTITLED
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AN ACT
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relating to termination by a managed care organization of a |
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provider's participation in Medicaid and child health plan program |
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provider networks. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 533.006, Government Code, is amended by |
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adding Subsection (c) to read as follows: |
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(c) A managed care organization may not terminate a health |
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care provider's participation in the organization's provider |
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network without cause. |
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SECTION 2. Section 62.155, Health and Safety Code, is |
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amended by adding Subsection (e) to read as follows: |
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(e) A managed care organization or other entity selected as |
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a health plan provider under the child health plan program may not |
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terminate a health care provider's participation in the |
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organization's or entity's provider network without cause. |
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SECTION 3. The changes in law made by this Act apply to a |
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contract between a managed care organization or other entity and a |
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health care provider entered into or renewed on or after the |
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effective date of this Act. A contract entered into or renewed |
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before that date is governed by the law in effect on the date the |
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contract was entered into or renewed, and that law is continued in |
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effect for that purpose. |
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SECTION 4. If before implementing any provision of this Act |
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a state agency determines that a waiver or authorization from a |
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federal agency is necessary for implementation of that provision, |
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the agency affected by the provision shall request the waiver or |
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authorization and may delay implementing that provision until the |
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waiver or authorization is granted. |
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SECTION 5. This Act takes effect immediately if it receives |
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a vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect September 1, 2019. |