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A BILL TO BE ENTITLED
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AN ACT
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relating to reimbursement of rural hospitals participating in the |
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Medicaid managed care program. |
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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 533.0041 to read as follows: |
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Sec. 533.0041. REIMBURSEMENT METHODOLOGY FOR RURAL |
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HOSPITALS. To the extent allowed by federal law and |
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notwithstanding any state law, the executive commissioner shall by |
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rule adopt a reimbursement methodology for the payment of rural |
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hospitals participating in the Medicaid managed care program that |
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ensures the rural hospitals are reimbursed on an individual basis |
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that allows the rural hospitals to fully recover allowable costs |
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incurred in providing services to recipients. In adopting rules |
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under this section, the executive commissioner: |
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(1) may adopt a methodology that requires: |
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(A) the commission to directly reimburse rural |
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hospitals for allowable costs; or |
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(B) a managed care organization to reimburse |
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rural hospitals; and |
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(2) shall define "allowable costs" and "rural |
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hospital" for purposes of this section. |
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SECTION 2. 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 3. This Act takes effect September 1, 2019. |