Texas 2025 - 89th Regular

Texas Senate Bill SB457

Filed
11/21/24  
Out of Senate Committee
4/28/25  
Voted on by Senate
5/1/25  
Out of House Committee
5/22/25  
Bill Becomes Law
 

Caption

Relating to the regulation of certain nursing facilities, including licensing requirements and Medicaid participation and reimbursement requirements.

Impact

The bill significantly alters the regulatory framework surrounding nursing facilities by requiring compliance with new financial accountability measures for Medicaid funds. This change is aimed at improving care standards across facilities and ensuring that state funds are utilized effectively. Furthermore, the legislation stipulates that nursing facilities will continue to receive Medicaid reimbursements uninterrupted during ownership changes, provided certain conditions are met. This aspect is intended to encourage stability in facility operations, ensuring that residents continue to receive necessary services without disruption during transitional periods.

Summary

Senate Bill 457 aims to enhance the regulation of nursing facilities in Texas, focusing on licensing requirements and the conditions surrounding Medicaid participation and reimbursement. One of the key provisions of the bill is the establishment of a 'patient care expense ratio,' which mandates that at least 80% of the Medicaid reimbursement funds must be used for reasonable patient care expenses. This provision is designed to ensure that funds allocated to nursing facilities are directed towards improving the quality of care for residents, particularly those who rely on Medicaid services.

Sentiment

The sentiment surrounding SB 457 appears to be largely positive among proponents who recognize the need for increased accountability in the use of Medicaid funds and the urgency of improving care standards in nursing facilities. Supporters argue that the bill's provisions could lead to enhanced care quality and better outcomes for Medicaid recipients. However, there are concerns regarding the implementation and oversight of these new regulations, as well as the potential burden they may place on smaller facilities that may struggle to adapt to the financial requirements.

Contention

Notable points of contention arise regarding the financial implications of the patient care expense ratio and the potential impact of increased oversight on nursing facilities. Some stakeholders argue that the new requirements may place undue financial pressure on smaller facilities or could result in higher operational costs. Additionally, the legislation features provisions that require additional reporting and compliance, which may lead to increased administrative burdens for nursing homes. As the bill progresses, the debate continues over balancing the need for regulatory oversight with the operational realities faced by nursing facilities.

Texas Constitutional Statutes Affected

Government Code

  • Chapter 540. Medicaid Managed Care Program
    • Section: New Section
    • Section: New Section
    • Section: New Section
    • Section: 0752
    • Section: New Section
    • Section: New Section
    • Section: New Section
    • Section: 0752
    • Section: New Section
  • Chapter 532. Medicaid Administration And Operation In General
    • Section: New Section

Health And Safety Code

  • Chapter 242. Convalescent And Nursing Facilities And Related Institutions
    • Section: 032
    • Section: New Section
    • Section: 032
    • Section: New Section
    • Section: 032
    • Section: New Section
    • Section: 032
    • Section: New Section
    • Section: 032
    • Section: New Section
    • Section: 032
    • Section: New Section
    • Section: 032
    • Section: New Section

Human Resources Code

  • Chapter 32. Medical Assistance Program
    • Section: New Section
    • Section: New Section
    • Section: New Section
    • Section: New Section
    • Section: New Section
    • Section: New Section
    • Section: New Section

Companion Bills

TX HB4615

Same As Relating to the regulation of certain nursing facilities, including licensing requirements and Medicaid participation requirements.

Similar Bills

HI SB889

Relating To The Department Of Human Services.

HI SB889

Relating To The Department Of Human Services.

TX HB3902

Relating to the continued reimbursement under Medicaid for nursing facilities after a change in ownership.

TX HB4615

Relating to the regulation of certain nursing facilities, including licensing requirements and Medicaid participation requirements.

FL H1165

Medicaid Managed Care

OK SB1675

Medicaid; modifying various provisions of the Ensuring Access to Medicaid Act. Emergency.

OK HB2322

State Medicaid program; Ensuring Access to Medicaid Act; broadening certain definition; reimbursements; providers; pharmacists; effective date; emergency; contingent effectiveness.

TX SB1629

Relating to the regulation of certain nursing facilities, including licensing requirements and Medicaid participation requirements.