By: Guillen H.B. No. 28
A BILL TO BE ENTITLED
AN ACT
relating to reimbursement for health care services provided at
certain times to persons enrolled in the Medicaid managed care
program.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 533.01315(b), Government Code, is
amended to read as follows:
(b) The commission shall ensure that a federally qualified
health center, physician office, rural health clinic, or municipal
health department's public clinic is reimbursed for health care
services provided to a recipient outside of regular business hours,
including on a weekend or holiday, at a rate that is equal to the
allowable rate for those services as determined under Section
32.028, Human Resources Code, regardless of whether the recipient
has a referral from the recipient's primary care provider.
SECTION 2. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 3. This Act takes effect September 1, 2011.