By: Raymond H.B. No. 4216
A BILL TO BE ENTITLED
AN ACT
relating to Medicaid managed care accreditation.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 533.0031, Government Code, is amended by
adding Subsection (c) to read as follows:
(c) The Commission may not award a managed care organization
a contract to provide services under the state's Medicaid Managed
Care Program unless that managed care organization has been
accredited or has initiated the process of becoming accredited by a
nationally recognized accrediting organization that:
(1) is required by no fewer than ten state Medicaid
programs as a sole accreditor;
(2) distinguishes managed care organizations for the
integration of long-term services and supports; and
(3) distinguishes managed care organizations for
their ability to provide culturally and linguistically sensitive
services, and work to reduce health care disparities.
SECTION 2. Changes made by this Act apply only to a contract
awarded by the Health and Human Services Commission on or after the
effective date of this Act.
SECTION 3. This Act takes effect immediately if it receives
a vote of two-thirds of all 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, 2021.