| 1 | 1 | | By: Raymond H.B. No. 4216 |
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| 2 | 2 | | |
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| 3 | 3 | | |
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| 4 | 4 | | A BILL TO BE ENTITLED |
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| 5 | 5 | | AN ACT |
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| 6 | 6 | | relating to Medicaid managed care accreditation. |
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| 7 | 7 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 8 | 8 | | SECTION 1. Section 533.0031, Government Code, is amended by |
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| 9 | 9 | | adding Subsection (c) to read as follows: |
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| 10 | 10 | | (c) The Commission may not award a managed care organization |
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| 11 | 11 | | a contract to provide services under the state's Medicaid Managed |
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| 12 | 12 | | Care Program unless that managed care organization has been |
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| 13 | 13 | | accredited or has initiated the process of becoming accredited by a |
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| 14 | 14 | | nationally recognized accrediting organization that: |
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| 15 | 15 | | (1) is required by no fewer than ten state Medicaid |
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| 16 | 16 | | programs as a sole accreditor; |
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| 17 | 17 | | (2) distinguishes managed care organizations for the |
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| 18 | 18 | | integration of long-term services and supports; and |
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| 19 | 19 | | (3) distinguishes managed care organizations for |
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| 20 | 20 | | their ability to provide culturally and linguistically sensitive |
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| 21 | 21 | | services, and work to reduce health care disparities. |
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| 22 | 22 | | SECTION 2. Changes made by this Act apply only to a contract |
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| 23 | 23 | | awarded by the Health and Human Services Commission on or after the |
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| 24 | 24 | | effective date of this Act. |
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| 25 | 25 | | SECTION 3. This Act takes effect immediately if it receives |
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| 26 | 26 | | a vote of two-thirds of all members elected to each house, as |
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| 27 | 27 | | provided by Section 39, Article III, Texas Constitution. If this |
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| 28 | 28 | | Act does not receive the vote necessary for immediate effect, this |
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| 29 | 29 | | Act takes effect September 1, 2021. |
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