Texas 2025 - 89th Regular

Texas House Bill HB26 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		89R14146 SCF-D
2	2		By: Hull H.B. No. 26
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5	7		A BILL TO BE ENTITLED
6	8		AN ACT
7	9		relating to requiring contracts with Medicaid managed care
8	10		organizations to permit the organizations to offer nutrition
9	11		counseling and instruction services in lieu of other state Medicaid
10	12		plan services.
11	13		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
12	14		SECTION 1. Section 540.0272, Government Code, as effective
13	15		April 1, 2025, is amended to read as follows:
14	16		Sec. 540.0272. CERTAIN SERVICES PERMITTED IN LIEU OF STATE
15	17		MEDICAID PLAN SERVICES [OTHER MENTAL HEALTH OR SUBSTANCE USE
16	18		DISORDER SERVICES]; ANNUAL REPORT. (a) A contract to which this
17	19		subchapter applies must contain language permitting the
18	20		contracting Medicaid managed care organization to offer medically
19	21		appropriate, cost-effective, evidence-based mental health or
20	22		substance use services or nutrition counseling and instruction
21	23		services from a list of services approved by the state Medicaid
22	24		managed care advisory committee and included in the contract in
23	25		lieu of [mental health or substance use disorder] services
24	26		specified in the state Medicaid plan. A recipient is not required
25	27		to use a service from the list included in the contract in lieu of
26	28		another [mental health or substance use disorder] service specified
27	29		in the state Medicaid plan.
28	30		(b) The commission shall:
29	31		(1) prepare and submit to the legislature an annual
30	32		report on the number of times during the preceding year a service
31	33		from the list included in the contract is used; and
32	34		(2) consider the actual cost and use of any services
33	35		from the list included in the contract that are offered by a
34	36		Medicaid managed care organization when setting the capitation
35	37		rates for that organization under the contract.
36	38		(c) In approving the list of nutrition counseling and
37	39		instruction services that are permitted in lieu of services
38	40		specified in the state Medicaid plan under this section, the state
39	41		Medicaid managed care advisory committee may only include nutrition
40	42		counseling and instruction. The list may not include:
41	43		(1) home-delivered meals;
42	44		(2) food prescriptions; or
43	45		(3) grocery support.
44	46		SECTION 2. The changes in law made by this Act apply to a
45	47		contract entered into or renewed on or after the effective date of
46	48		this Act. A contract entered into or renewed before that date is
47	49		governed by the law in effect on the date the contract was entered
48	50		into or renewed, and that law is continued in effect for that
49	51		purpose.
50	52		SECTION 3. If before implementing any provision of this Act
51	53		a state agency determines that a waiver or authorization from a
52	54		federal agency is necessary for implementation of that provision,
53	55		the agency affected by the provision shall request the waiver or
54	56		authorization and may delay implementing that provision until the
55	57		waiver or authorization is granted.
56	58		SECTION 4. This Act takes effect September 1, 2025.