86R6754 LED-D
By: Guerra H.B. No. 1430
A BILL TO BE ENTITLED
AN ACT
relating to termination by a managed care organization of a
provider's participation in Medicaid and child health plan program
provider networks.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 533.006, Government Code, is amended by
adding Subsection (c) to read as follows:
(c) A managed care organization may not terminate a health
care provider's participation in the organization's provider
network without cause.
SECTION 2. Section 62.155, Health and Safety Code, is
amended by adding Subsection (e) to read as follows:
(e) A managed care organization or other entity selected as
a health plan provider under the child health plan program may not
terminate a health care provider's participation in the
organization's or entity's provider network without cause.
SECTION 3. The changes in law made by this Act apply to a
contract between a managed care organization or other entity and a
health care provider entered into or renewed on or after the
effective date of this Act. A contract entered into or renewed
before that date is governed by the law in effect on the date the
contract was entered into or renewed, and that law is continued in
effect for that purpose.
SECTION 4. 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 5. 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, 2019.