82R10331 SJM-F
By: Deshotel H.B. No. 3108
A BILL TO BE ENTITLED
AN ACT
relating to reimbursement for certain emergency services provided
to persons enrolled in the Medicaid managed care program.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter A, Chapter 533, Government Code, is
amended by adding Section 533.01316 to read as follows:
Sec. 533.01316. REIMBURSEMENT FOR CERTAIN EMERGENCY
SERVICES. (a) This section applies with respect to a recipient of
medical assistance who is an enrollee in a managed care plan under
any Medicaid managed care model or arrangement.
(b) The commission shall ensure that a person providing
ambulance services to a Medicaid managed care enrollee is
reimbursed for emergency services provided to the enrollee 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 services are provided by a provider in the applicable
Medicaid managed care plan's network of providers.
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.