| Old | New | Differences | |
|---|---|---|---|
| 1 | 1 | By: Hinojosa S.B. No. 1568 | |
| 2 | 2 | ||
| 3 | 3 | ||
| 4 | 4 | A BILL TO BE ENTITLED | |
| 5 | 5 | AN ACT | |
| 6 | 6 | relating to the filing of certain actions involving preauthorized | |
| 7 | 7 | medical care or health care services in the Medicaid program. | |
| 8 | 8 | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | |
| 9 | 9 | SECTION 1. Section 531.102(g)(9), Government Code, is | |
| 10 | 10 | amended by adding Subsection (9-a) to read as follows: | |
| 11 | 11 | (9-a) The state may not file a civil action for fraud against | |
| 12 | 12 | a physician or health care provider for prior authorized medically | |
| 13 | 13 | necessary services unless the physician or provider has materially | |
| 14 | 14 | misrepresented the documentation relating to the medical or health | |
| 15 | 15 | care services or has substantially failed to perform the medical or | |
| 16 | 16 | health care services. | |
| 17 | 17 | SECTION 2. The changes in law made by this Act apply only to | |
| 18 | 18 | a civil action commenced on or after the effective date of this | |
| 19 | 19 | Act. A civil action commenced before the effective date of this | |
| 20 | 20 | Act is governed by the law applicable to the action immediately | |
| 21 | 21 | before the effective date of this Act, and that law is continued in | |
| 22 | 22 | effect for that purpose. | |
| 23 | 23 | SECTION 3. This Act takes effect September 1, 2017. |