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A BILL TO BE ENTITLED
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AN ACT
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relating to licensure and contracting for the delivery of medical |
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assistance by nursing facilities. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 32.021, Human Resources Code, is amended |
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by adding Subsection (t) to read as follows: |
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(t) The commission shall ensure that contracts for the |
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delivery of medical assistance to a nursing facility: |
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(1) are awarded on terms and conditions that are no |
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more stringent than the federal requirements governing Medicare |
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certification and enrollment of skilled nursing facilities; |
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(2) allow uninterrupted Medicaid payments if: |
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(A) the new provider meets the requirements of |
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this chapter and licensure requirements under Chapter 242, Health |
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and Safety Code; |
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(B) the new provider assumes the prior provider's |
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contract terms and conditions that were in effect as of the time of |
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ownership transfer; and |
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(C) the new provider enters into a successor |
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liability agreement with the commission and the prior provider |
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indicating the new provider agrees to pay the commission for any |
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liabilities that exist or may be found to exist during the period of |
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the prior provider's contract with the commission; and |
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(3) satisfy the requirements of Section 242.033(h), |
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Health and Safety Code. |
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SECTION 2. Section 242.033, Health and Safety Code, is |
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amended by adding Subsection (h) to read as follows: |
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(h) The department shall ensure that rules adopted under |
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this section: |
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(1) provide for a single application for licensure and |
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contracting for the delivery of medical assistance consistent with |
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Section 532.0052, Government Code; |
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(2) require the department to issue a contract for the |
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delivery of medical assistance within 30 days after the date of |
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issuance of a temporary change of ownership license as provided by |
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Section 242.0336(c); and |
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(3) ensure that vendor payments are made to nursing |
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facilities within 30 days of the effective date of a contract for |
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delivery of medical assistance, including requiring any managed |
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care organization contracts with the commission to provide for |
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expedited credentialing of nursing facilities consistent with the |
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commission's rules within 30 days, and that managed care |
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organizations' contracts with nursing facilities be effective on |
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the date of the commission's Medicaid contract with such nursing |
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facilities. |
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SECTION 3. This Act takes effect September 1, 2025. |