By: Coleman H.B. No. 3109
A BILL TO BE ENTITLED
AN ACT
relating to identifying and addressing social determinants of
health in Medicaid managed care contracts.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 533.005, Government Code, is amended by
adding subsection (a)(27-29)to read as follows:
(27) a requirement that the managed care organization
perform routine screening of recipients to identify social
determinants of health including:
(A) housing;
(B) education;
(C) economic opportunity; and
(D) community conditions including access to
healthy food, environmental conditions, and safety from crime;
(28) a requirement that the managed care organization
coordinate with local community services and other federal, state,
and local government agencies as applicable to help address the
social determinants of health identified in subsection (27) that
are affecting the health of the recipient; and
(29) a requirement that the managed care organization
have a designated social determinants of health specialists for
each service area they are contracted in.
SECTION 2. This Act does not apply to contracts entered in
to before the effective date but applies to all contracts that are
new, renewed, or extended on or after the effective date.
SECTION 3. This Act takes effect September 1, 2021.