84R13641 JSL-F
By: Klick H.B. No. 3924
A BILL TO BE ENTITLED
AN ACT
relating to allowing certain providers of eye health care services
to enroll as Medicaid providers.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 531, Government Code, is
amended by adding Section 531.02119 to read as follows:
Sec. 531.02119. MEDICAID ENROLLMENT AND CREDENTIALING OF
CERTAIN EYE HEALTH CARE PROVIDERS. (a) This section applies to:
(1) an optometrist who is licensed by the Texas
Optometry Board;
(2) a therapeutic optometrist who is licensed by the
Texas Optometry Board; and
(3) an ophthalmologist who is licensed by the Texas
Medical Board.
(b) The commission may not prevent a provider to whom this
section applies from enrolling as a Medicaid provider if the
provider:
(1) joins an established practice of a health care
provider or provider group that:
(A) has a contract with a managed care
organization to provide health care services to recipients under
Chapter 533; or
(B) provides health care services under the
Medicaid program under a fee-for-service arrangement;
(2) applies to be an enrolled provider under the
Medicaid program;
(3) if applicable:
(A) applies for credentialing with the
appropriate managed care organization; and
(B) complies with the requirements of the
contract between the provider or the provider's group and the
applicable managed care organization; and
(4) complies with all other applicable requirements
related to being a Medicaid 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 immediately if it receives
a vote of two-thirds of all the members elected to each house, as
provided by Section 39, Article III, Texas Constitution. If this
Act does not receive the vote necessary for immediate effect, this
Act takes effect September 1, 2015.