Texas Senate Bill SB2239

Texas 2019 - 86th Regular

Caption

Relating to the operation and administration of certain health and human services programs, including the Medicaid managed care program.

Impact

One significant impact of SB2239 is its reform of Medicaid payment structures, aiming to reduce complexities and uncertainties associated with reimbursement processes. This includes establishing rules that mandate notification of changes to payment rates and creating a system where health care providers receive timely updates. Additionally, by facilitating the coordination of benefits for dually eligible recipients, the bill seeks to ensure that necessary services are provided without unnecessary delays or barriers, ultimately fostering a more integrated health care system.

Summary

SB2239 aims to streamline and enhance the operation and administration of certain health and human services programs under Texas law, with a particular focus on the Medicaid managed care program. The bill introduces amendments to the Government Code, including establishing clearer procedures for implementing changes to payment rates and enhancing the coordination of benefits for individuals eligible for both Medicaid and Medicare. This initiative is designed to revamp how health care services under Medicaid are delivered and reimbursed, ultimately improving patient care and provider management.

Contention

While the bill is generally aimed at improving efficiency within Texas's healthcare system, it has not been without contention. Stakeholders such as healthcare providers have raised concerns about the administrative burden that may arise from the changes in billing procedures and prior authorizations. There are also apprehensions regarding how the changes could affect the accessibility and quality of care that vulnerable populations may receive, particularly if providers need to navigate additional compliance measures introduced by the new regulations. Opponents worry that while the intentions of the bill focus on efficiency, the implementation could lead to unintended consequences for patient care.