| 1 | 1 | | 86R6754 LED-D |
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| 2 | 2 | | By: Guerra H.B. No. 1430 |
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| 3 | 3 | | |
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| 4 | 4 | | |
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| 5 | 5 | | A BILL TO BE ENTITLED |
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| 6 | 6 | | AN ACT |
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| 7 | 7 | | relating to termination by a managed care organization of a |
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| 8 | 8 | | provider's participation in Medicaid and child health plan program |
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| 9 | 9 | | provider networks. |
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| 10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 11 | 11 | | SECTION 1. Section 533.006, Government Code, is amended by |
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| 12 | 12 | | adding Subsection (c) to read as follows: |
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| 13 | 13 | | (c) A managed care organization may not terminate a health |
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| 14 | 14 | | care provider's participation in the organization's provider |
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| 15 | 15 | | network without cause. |
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| 16 | 16 | | SECTION 2. Section 62.155, Health and Safety Code, is |
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| 17 | 17 | | amended by adding Subsection (e) to read as follows: |
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| 18 | 18 | | (e) A managed care organization or other entity selected as |
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| 19 | 19 | | a health plan provider under the child health plan program may not |
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| 20 | 20 | | terminate a health care provider's participation in the |
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| 21 | 21 | | organization's or entity's provider network without cause. |
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| 22 | 22 | | SECTION 3. The changes in law made by this Act apply to a |
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| 23 | 23 | | contract between a managed care organization or other entity and a |
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| 24 | 24 | | health care provider entered into or renewed on or after the |
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| 25 | 25 | | effective date of this Act. A contract entered into or renewed |
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| 26 | 26 | | before that date is governed by the law in effect on the date the |
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| 27 | 27 | | contract was entered into or renewed, and that law is continued in |
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| 28 | 28 | | effect for that purpose. |
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| 29 | 29 | | SECTION 4. If before implementing any provision of this Act |
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| 30 | 30 | | a state agency determines that a waiver or authorization from a |
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| 31 | 31 | | federal agency is necessary for implementation of that provision, |
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| 32 | 32 | | the agency affected by the provision shall request the waiver or |
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| 33 | 33 | | authorization and may delay implementing that provision until the |
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| 34 | 34 | | waiver or authorization is granted. |
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| 35 | 35 | | SECTION 5. This Act takes effect immediately if it receives |
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| 36 | 36 | | a vote of two-thirds of all the members elected to each house, as |
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| 37 | 37 | | provided by Section 39, Article III, Texas Constitution. If this |
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| 38 | 38 | | Act does not receive the vote necessary for immediate effect, this |
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| 39 | 39 | | Act takes effect September 1, 2019. |
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