TX
Texas Senate Bill SB2040

Texas 2019 - 86th Regular

Texas Senate Bill SB2040

Caption

Relating to a report regarding Medicaid reimbursement rates and access to care.

Impact

The proposed report will provide valuable insights into the Medicaid program's effectiveness in Texas and highlight areas for potential reform. It aims to identify discrepancies in provider access related to geographical factors and potentially recommend adjustments to reimbursement strategies. Notably, the bill also considers the case of border counties and those with a higher percentage of Medicaid populations, suggesting that unique regional factors should inform reimbursement methodology.

Summary

SB2040 mandates the Texas Health and Human Services Commission to compile a comprehensive report on Medicaid reimbursement rates and the access to care for Medicaid recipients. The bill requires a collaboration with the medical care advisory committee to assess at least 20 Medicaid-covered services. The scope of the report will encompass current reimbursement methodologies, the participation of providers, and the overall impact these rates have on the accessibility of care in different regions of Texas.

Sentiment

The sentiment around SB2040 appears supportive among advocates for healthcare reform, as it addresses critical concerns regarding Medicaid's ability to ensure adequate provider participation and patient access. This aligns with broader objectives of improving health outcomes for vulnerable populations. However, there may be some contention regarding the adequacy of the report's recommendations and whether they will translate into actionable policy changes in the legislature.

Contention

While the bill itself does not seem to face direct opposition, concerns may arise regarding the implementation of its recommendations once the report is submitted. Stakeholders might debate the effectiveness of proposed reimbursement changes or their applicability across various local conditions. The evaluation of access standards and rural healthcare needs may shift political dynamics depending on how the findings influence future legislative actions.

Companion Bills

TX HB3937

Same As Relating to a report regarding Medicaid reimbursement rates and access to care.

Previously Filed As

TX HB1378

Relating to a report regarding Medicaid reimbursement rates, supplemental payment amounts, and access to care.

TX HB1293

Relating to the reimbursement of prescription drugs under Medicaid and the child health plan program.

TX HB3725

Relating to Medicaid coverage and reimbursement for doula services and reports on the provision of those services.

TX HB3394

Relating to Medicaid coverage and reimbursement for doula services and reports on the provision of those services.

TX HB4611

Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.

TX SB1239

Relating to reimbursement rates for eye health care services providers participating in the Medicaid managed care program.

TX HB3778

Relating to reimbursement rates for eye health care services providers participating in the Medicaid managed care program.

TX HB1283

Relating to prescription drug formularies applicable to the Medicaid managed care program.

TX SB1113

Relating to prescription drug formularies applicable to the Medicaid managed care program.

TX HB1701

Relating to administrative and judicial review of certain Medicaid reimbursement disputes; authorizing a fee.

Similar Bills

UT SB0257

Medicaid Accounts Amendments

UT HB0247

Child Health Care Coverage Amendments

AR SB518

To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.

AR SB515

To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act.

UT HB0463

Medicaid Funding Amendments

NJ A3334

Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.

NJ S2416

Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.

NJ S3495

Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.