87R4709 JES-D
By: Shaheen H.B. No. 1427
A BILL TO BE ENTITLED
AN ACT
relating to the disclosure of negotiated rates requested by members
of the legislature from certain health care vendors that contract
with this state.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter Z, Chapter 2252, Government Code, is
amended by adding Section 2252.909 to read as follows:
Sec. 2252.909. LEGISLATIVE REQUEST FOR NEGOTIATED RATES
UNDER CERTAIN HEALTH BENEFIT CONTRACTS. (a) In this
section, "health care vendor" means:
(1) a health benefit plan issuer that contracts with
this state for the administration of health benefits; and
(2) a managed care organization that contracts with
the Health and Human Services Commission to administer health
benefits for Medicaid recipients through a managed care plan.
(b) This section applies only to a health care vendor that
contracts with this state, including with an agency of this state,
to administer health benefits under:
(1) a basic coverage plan under Chapter 1551,
Insurance Code;
(2) a basic plan under Chapter 1575, Insurance Code;
(3) a primary care coverage plan under Chapter 1579,
Insurance Code;
(4) a plan providing basic coverage under Chapter
1601, Insurance Code; or
(5) the state Medicaid program, including the Medicaid
managed care program operated under Chapter 533.
(c) A member of the legislature may request from a health
care vendor information regarding any negotiated rate included in a
contract between the vendor and this state for the administration
of health benefits.
(d) On receipt of a written request for information under
Subsection (c), the health care vendor shall provide the requested
information to the member of the legislature who submitted the
request.
SECTION 2. Section 2252.909, Government Code, as added by
this Act, applies only to a health care vendor that enters into or
renews a contract with the State of Texas on or after the effective
date of this Act.
SECTION 3. This Act takes effect September 1, 2021.