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A BILL TO BE ENTITLED
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AN ACT
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relating to clarity and certainty in the administration and |
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operation of Medicaid. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 32.0231, Human Resources Code, is |
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amended by adding Subsection (a-1) to read as follows: |
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(a-1) The commission through the rulemaking process |
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established by Chapter 2001, Government Code, shall on a |
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prospective basis determine whether to exclude or limit a benefit |
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under the medical assistance program, unless the exclusion or |
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limitation is required by state or federal law. |
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SECTION 2. Subchapter K, Chapter 544, Government Code, as |
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effective April 1, 2025, is amended by adding Subsection (j) to |
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Section 544.0502 to read as follows: |
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(j) Notwithstanding other law, the office of the inspector |
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general may not recover under subsection (f) a payment made to a |
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Medicaid provider as a result of waste or abuse discovered after the |
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fourth anniversary of the date the payment was made to the provider. |
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SECTION 3. Section 544.05021, Government Code, as added by |
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this Act, applies to a payment for which recovery is sought on or |
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after the effective date of this Act, regardless of the date on |
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which the payment was made. |
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SECTION 4. If before implementing any provision of this Act |
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a state agency determines a waiver or authorization from a federal |
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agency is necessary for implementation of that provision, the |
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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 September 1, 2025. |