Texas 2021 - 87th Regular

Texas House Bill HB3662 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		87R18024 BDP-F
2		-	By: Buckley, Shine, Kacal, Talarico H.B. No. 3662
	2	+	By: Buckley, Shine H.B. No. 3662
	3	+	Substitute the following for H.B. No. 3662:
	4	+	By: Frank C.S.H.B. No. 3662
3	5
4	6
5	7		A BILL TO BE ENTITLED
6	8		AN ACT
7	9		relating to the award of health plan provider contracts under the
8	10		Medicaid managed care program.
9	11		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	12		SECTION 1. Section 533.004(a), Government Code, is amended
11	13		to read as follows:
12	14		(a) In providing health care services through Medicaid
13	15		managed care to recipients in a health care service region, the
14	16		commission shall contract with a managed care organization in that
15	17		region that is licensed under Chapter 843, Insurance Code, if
16	18		subject to that chapter, to provide health care in that region and
17	19		that is:
18	20		(1) wholly owned and operated by a hospital district
19	21		in that region;
20	22		(2) created by a nonprofit corporation that:
21	23		(A) has a contract, agreement, or other
22	24		arrangement with a hospital district in that region or with a
23	25		municipality in that region that owns a hospital licensed under
24	26		Chapter 241, Health and Safety Code, and has an obligation to
25	27		provide health care to indigent patients; and
26	28		(B) under the contract, agreement, or other
27	29		arrangement, assumes the obligation to provide health care to
28	30		indigent patients and leases, manages, or operates a hospital
29	31		facility owned by the hospital district or municipality; [or]
30	32		(3) created by a nonprofit corporation that has a
31	33		contract, agreement, or other arrangement with a hospital district
32	34		in that region under which the nonprofit corporation acts as an
33	35		agent of the district and assumes the district's obligation to
34	36		arrange for services under the Medicaid expansion for children as
35	37		authorized by Chapter 444, Acts of the 74th Legislature, Regular
36	38		Session, 1995; or
37	39		(4) if the commission does not have an existing
38	40		contract with a managed care organization in a health care service
39	41		region under Subdivision (1), (2), or (3) on September 1, 2021,
40	42		wholly owned by a provider-sponsored health organization that owns
41	43		and operates:
42	44		(A) two trauma facilities designated as level I
43	45		trauma facilities by the Department of State Health Services under
44	46		Section 773.115, Health and Safety Code, that are located in
45	47		different trauma service areas; and
46	48		(B) a hospital licensed under Chapter 241, Health
47	49		and Safety Code, that is located in the health care service region.
48	50		SECTION 2. The changes in law made by this Act apply only to
49	51		the award of a contract by the Health and Human Services Commission
50	52		on or after the effective date of this Act.
51	53		SECTION 3. If before implementing any provision of this Act
52	54		a state agency determines that a waiver or authorization from a
53	55		federal agency is necessary for implementation of that provision,
54	56		the agency affected by the provision shall request the waiver or
55	57		authorization and may delay implementing that provision until the
56	58		waiver or authorization is granted.
57	59		SECTION 4. This Act takes effect immediately if it receives
58	60		a vote of two-thirds of all the members elected to each house, as
59	61		provided by Section 39, Article III, Texas Constitution. If this
60	62		Act does not receive the vote necessary for immediate effect, this
61	63		Act takes effect September 1, 2021.