Texas House Bill HB2379

Texas 2019 - 86th Regular

Caption

Relating to changes to and the setting of fees, charges, and rates under the Medicaid and child health plan programs.

Impact

This legislation is significant as it establishes a structured approach for implementing rate changes, which is intended to foster a clearer and more predictable environment for both providers and managed care organizations. Additionally, the bill includes measures requiring prior notifications to relevant parties, alongside a public comment period before changes can take effect. This could allow stakeholders to better prepare for adjustments and potentially influence the nature of the changes by voicing their concerns and suggestions.

Summary

House Bill 2379 addresses the management and implementation of changes to the fees, charges, and rates associated with Medicaid and child health plan programs in Texas. The bill mandates the establishment of a specific procedure for altering payment rates, aiming to minimize administrative complexity and financial uncertainty when these changes occur. Furthermore, it requires the executive commissioner, in consultation with an advisory committee composed of representatives from managed care organizations and healthcare providers, to adopt rules for these changes. This advisory committee is to be dissolved once the rules are established, with a completion deadline set for December 31, 2019.

Contention

Points of contention surrounding HB 2379 might include concerns from providers regarding the potential for downward pressure on reimbursement rates and the adequacy of public notice. While the bill aims to protect both providers and state interests in managing Medicaid effectively, some stakeholders may worry that the procedural requirements may not fully address the complexities and effects of proposed rate adjustments, particularly for vulnerable populations reliant on these health services.