BILL ANALYSIS

 

 

Senate Research Center

S.B. 1829

87R7621 BDP-F

By: Hinojosa

 

Health & Human Services

 

4/9/2021

 

As Filed

 

 

 

AUTHOR'S / SPONSOR'S STATEMENT OF INTENT

 

Outdated member contact information can result in less efficient care management, lower quality of care, and additional administrative expenses. Without current contact information, health plans are not able to effectively engage with members to encourage health screenings and preventative care or promote the use of the proper care setting, which can adversely affect member health and quality performance.

 

S.B. 1829 requires the Health and Human Services Commission (HHSC) to ensure Medicaid managed care organizations (MCOs) maintain an accurate electronic directory of contact information for Medicaid recipients enrolled in a managed care plan. MCOs are then required to send an electronic copy of the recipient directory to HHSC monthly to optimize engagement and increase efficiency.

 

As proposed, S.B. 1829 amends current law relating to the electronic Medicaid recipient directories maintained by Medicaid managed care organizations.

 

RULEMAKING AUTHORITY

 

This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency.

 

SECTION BY SECTION ANALYSIS

 

SECTION 1. Amends Subchapter A, Chapter 533, Government Code, by adding Section 533.00751, as follows:

 

Sec. 533.00751. RECIPIENT DIRECTORY. (a) Requires the Health and Human Services Commission (HHSC) to ensure that a Medicaid managed care organization:

 

(1) maintains an accurate electronic directory of contact information for each recipient enrolled in the organization's managed care plan, including each recipient's home and mobile telephone numbers, email address, and home address; and

 

(2) updates the electronic directory required under Subdivision (1) at least monthly.

 

(b) Requires a Medicaid managed care organization, at least monthly, to send an electronic copy of the recipient directory described by this section to HHSC.

 

SECTION 2. (a) Requires HHSC, in a contract between HHSC and a managed care organization under Chapter 533 (Medicaid Managed Care Program), Government Code, that is entered into or renewed on or after the effective date of this Act, to require that the managed care organization comply with Section 533.00751, Government Code, as added by this Act.

 

(b) Requires HHSC to seek to amend contracts entered into with managed care organizations´┐Ż under Chapter 533, Government Code, before the effective date of this Act to require those managed care organizations to comply with Section 533.00751, Government Code, as added by this Act. Provides that, 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 3. Requires a state agency, if necessary for implementation of a provision of this Act, to request a waiver or authorization from a federal agency, and authorizes delay of implementation until such a waiver or authorization is granted.

 

SECTION 4. Effective date: upon passage or September 1, 2021.