1 | 1 | | 84R13641 JSL-F |
---|
2 | 2 | | By: Klick H.B. No. 3924 |
---|
3 | 3 | | |
---|
4 | 4 | | |
---|
5 | 5 | | A BILL TO BE ENTITLED |
---|
6 | 6 | | AN ACT |
---|
7 | 7 | | relating to allowing certain providers of eye health care services |
---|
8 | 8 | | to enroll as Medicaid providers. |
---|
9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
10 | 10 | | SECTION 1. Subchapter B, Chapter 531, Government Code, is |
---|
11 | 11 | | amended by adding Section 531.02119 to read as follows: |
---|
12 | 12 | | Sec. 531.02119. MEDICAID ENROLLMENT AND CREDENTIALING OF |
---|
13 | 13 | | CERTAIN EYE HEALTH CARE PROVIDERS. (a) This section applies to: |
---|
14 | 14 | | (1) an optometrist who is licensed by the Texas |
---|
15 | 15 | | Optometry Board; |
---|
16 | 16 | | (2) a therapeutic optometrist who is licensed by the |
---|
17 | 17 | | Texas Optometry Board; and |
---|
18 | 18 | | (3) an ophthalmologist who is licensed by the Texas |
---|
19 | 19 | | Medical Board. |
---|
20 | 20 | | (b) The commission may not prevent a provider to whom this |
---|
21 | 21 | | section applies from enrolling as a Medicaid provider if the |
---|
22 | 22 | | provider: |
---|
23 | 23 | | (1) joins an established practice of a health care |
---|
24 | 24 | | provider or provider group that: |
---|
25 | 25 | | (A) has a contract with a managed care |
---|
26 | 26 | | organization to provide health care services to recipients under |
---|
27 | 27 | | Chapter 533; or |
---|
28 | 28 | | (B) provides health care services under the |
---|
29 | 29 | | Medicaid program under a fee-for-service arrangement; |
---|
30 | 30 | | (2) applies to be an enrolled provider under the |
---|
31 | 31 | | Medicaid program; |
---|
32 | 32 | | (3) if applicable: |
---|
33 | 33 | | (A) applies for credentialing with the |
---|
34 | 34 | | appropriate managed care organization; and |
---|
35 | 35 | | (B) complies with the requirements of the |
---|
36 | 36 | | contract between the provider or the provider's group and the |
---|
37 | 37 | | applicable managed care organization; and |
---|
38 | 38 | | (4) complies with all other applicable requirements |
---|
39 | 39 | | related to being a Medicaid provider. |
---|
40 | 40 | | SECTION 2. If before implementing any provision of this Act |
---|
41 | 41 | | a state agency determines that a waiver or authorization from a |
---|
42 | 42 | | federal agency is necessary for implementation of that provision, |
---|
43 | 43 | | the agency affected by the provision shall request the waiver or |
---|
44 | 44 | | authorization and may delay implementing that provision until the |
---|
45 | 45 | | waiver or authorization is granted. |
---|
46 | 46 | | SECTION 3. This Act takes effect immediately if it receives |
---|
47 | 47 | | a vote of two-thirds of all the members elected to each house, as |
---|
48 | 48 | | provided by Section 39, Article III, Texas Constitution. If this |
---|
49 | 49 | | Act does not receive the vote necessary for immediate effect, this |
---|
50 | 50 | | Act takes effect September 1, 2015. |
---|