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A BILL TO BE ENTITLED
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AN ACT
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relating to maintaining and distributing certain Medicaid managed |
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care directories. |
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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 533.00751 to read as follows: |
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Sec. 533.00751. RECIPIENT DIRECTORY. The commission shall |
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in accordance with a single source of truth design: |
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(1) maintain an accurate electronic directory of |
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contact information for each recipient enrolled in a managed care |
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plan offered by a Medicaid managed care organization under this |
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chapter, including, to the extent feasible, each recipient's: |
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(A) home, work, and mobile telephone numbers; |
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(B) e-mail address; and |
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(C) home and work addresses; and |
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(2) ensure that each Medicaid managed care |
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organization and enrollment broker participating in the Medicaid |
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managed care program update the electronic directory required under |
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Subdivision (1) in real time. |
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SECTION 2. Section 533.0063(b), Government Code, is amended |
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to read as follows: |
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(b) A [Except as provided by Subsection (c), a] managed care |
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organization is required to send a paper form of the organization's |
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provider network directory for the program only to a recipient who |
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requests to receive the directory in paper form. |
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SECTION 3. Section 533.0063(c), Government Code, is |
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repealed. |
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SECTION 4. (a) The Health and Human Services Commission |
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shall, in a contract between the commission and a managed care |
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organization under Chapter 533, Government Code, that is entered |
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into or renewed on or after the effective date of this Act, require |
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that the managed care organization comply with Section 533.00751, |
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Government Code, as added by this Act. |
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(b) The Health and Human Services Commission shall seek to |
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amend contracts entered into with managed care organizations under |
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Chapter 533, Government Code, before the effective date of this Act |
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to require those managed care organizations to comply with Section |
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533.00751, Government Code, as added by this Act. To the extent of |
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a conflict between that section and a provision of a contract with a |
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managed care organization entered into before the effective date of |
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this Act, the contract provision prevails. |
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SECTION 5. 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 6. 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, 2021. |