87R4709 JES-D

By: Shaheen H.B. No. 1427

A BILL TO BE ENTITLED

AN ACT

relating to the disclosure of negotiated rates requested by members of the legislature from certain health care vendors that contract with this state.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Subchapter Z, Chapter 2252, Government Code, is amended by adding Section 2252.909 to read as follows:

Sec. 2252.909. LEGISLATIVE REQUEST FOR NEGOTIATED RATES UNDER CERTAIN HEALTH BENEFIT CONTRACTS. (a) In this section, "health care vendor" means:

(1) a health benefit plan issuer that contracts with this state for the administration of health benefits; and

(2) a managed care organization that contracts with the Health and Human Services Commission to administer health benefits for Medicaid recipients through a managed care plan.

(b) This section applies only to a health care vendor that contracts with this state, including with an agency of this state, to administer health benefits under:

(1) a basic coverage plan under Chapter 1551, Insurance Code;

(2) a basic plan under Chapter 1575, Insurance Code;

(3) a primary care coverage plan under Chapter 1579, Insurance Code;

(4) a plan providing basic coverage under Chapter 1601, Insurance Code; or

(5) the state Medicaid program, including the Medicaid managed care program operated under Chapter 533.

(c) A member of the legislature may request from a health care vendor information regarding any negotiated rate included in a contract between the vendor and this state for the administration of health benefits.

(d) On receipt of a written request for information under Subsection (c), the health care vendor shall provide the requested information to the member of the legislature who submitted the request.

SECTION 2. Section 2252.909, Government Code, as added by this Act, applies only to a health care vendor that enters into or renews a contract with the State of Texas on or after the effective date of this Act.

SECTION 3. This Act takes effect September 1, 2021.