84R4848 LED-D
By: Muñoz, Jr. H.B. No. 2084
A BILL TO BE ENTITLED
AN ACT
relating to transparency in the STAR Medicaid managed care
rate-setting process.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter A, Chapter 533, Government Code, is
amended by adding Section 533.01314 to read as follows:
Sec. 533.01314. TRANSPARENCY OF PREMIUM PAYMENT
RATE-SETTING PROCESS FOR STAR MEDICAID MANAGED CARE PROGRAM. The
commission shall ensure the transparency of the premium payment
rate-setting process for the STAR Medicaid managed care program by
publishing actuarial reports:
(1) in a format that allows for tracing data and
formulas across attachments, exhibits, and examples; and
(2) that clearly identify and describe:
(A) the methodology by which the executive
commissioner set the payment rates;
(B) the data sources used;
(C) the components of the process that are
assumptions and how the assumptions are developed; and
(D) multipliers and factors used throughout the
reports, including the source and purpose of the multipliers and
factors.
SECTION 2. If before implementing any provision of this Act
a state agency determines that authorization from a federal agency
is necessary for implementation of that provision, the agency
affected by the provision shall request the authorization and may
delay implementing that provision until the authorization is
granted.
SECTION 3. This Act takes effect September 1, 2015.