TX
Texas House Bill HB4105

Texas 2019 - 86th Regular

Texas House Bill HB4105

Caption

Relating to the inclusion of certain health care providers in the provider network of a Medicaid managed care organization.

Impact

One of the significant impacts of HB4105 is its requirement that all managed care organizations must ensure that the terms in provider contracts with certain providers should be at least as favorable as those given to significant traditional providers within their regions. This provision highlights the importance of establishing equitable access to care across various healthcare settings, particularly in areas that may have previously been underserved.

Summary

House Bill 4105 aims to enhance the participation of certain healthcare providers within the provider network of Medicaid managed care organizations in Texas. This legislation mandates managed care organizations to actively seek participation from a range of healthcare providers, particularly those who have traditionally served Medicaid recipients. The bill emphasizes the inclusion of disproportionate share hospitals and specialized pediatric laboratories, reflecting a commitment to maintaining access to crucial services for vulnerable populations.

Contention

Notably, the bill also stipulates that if any state agency identifies that federal authorization is needed for a particular provision before its implementation, the agency may delay its enactment until such authorization is granted. This clause underscores the complexities involved in healthcare legislation, where state and federal regulations intersect, potentially leading to debates surrounding the balance of state autonomy and federal oversight.

Companion Bills

TX SB2039

Same As Relating to the inclusion of certain health care providers in the provider network of a Medicaid managed care organization.

Previously Filed As

TX HB5023

Relating to requiring Medicaid managed care organizations to provide an annual bonus payment to certain Medicaid providers.

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 HB2401

Relating to certain contracting requirements under the Medicaid managed care delivery model.

TX HB3916

Relating to the reimbursement of certain durable medical equipment providers participating in the Medicaid managed care program.

TX SB1915

Relating to the reimbursement of certain durable medical equipment providers participating in the Medicaid managed care program.

TX HB5018

Relating to certain payment recovery efforts by managed care organizations under Medicaid or the child health plan program.

TX HB4111

Relating to access to and the provision of behavioral and mental health care services and trauma-informed care in the Medicaid managed care program.

TX SB651

Relating to the repeal of certain contracting requirements under the Medicaid managed care delivery model.

TX HB1283

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

Similar Bills

No similar bills found.