| Old | New | Differences | |
|---|---|---|---|
| 1 | - | ||
| 1 | + | 89R1716 JG-D | |
| 2 | 2 | By: Manuel H.B. No. 3747 | |
| 3 | - | Substitute the following for H.B. No. 3747: | |
| 4 | - | By: Hull C.S.H.B. No. 3747 | |
| 5 | 3 | ||
| 6 | 4 | ||
| 7 | 5 | ||
| 8 | 6 | ||
| 9 | 7 | A BILL TO BE ENTITLED | |
| 10 | 8 | AN ACT | |
| 11 | - | relating to allowing Medicaid managed care organizations to | |
| 12 | - | | |
| 13 | - | benefit plan coverage. | |
| 9 | + | relating to allowing Medicaid managed care organizations to inform | |
| 10 | + | Medicaid recipients about the availability of certain private | |
| 11 | + | health benefit plan coverage. | |
| 14 | 12 | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | |
| 15 | 13 | SECTION 1. Section 540.0055, Government Code, as effective | |
| 16 | 14 | April 1, 2025, is amended by adding Subsection (c) to read as | |
| 17 | 15 | follows: | |
| 18 | 16 | (c) The marketing guidelines the commission establishes | |
| 19 | 17 | under this section may not prohibit a Medicaid managed care | |
| 20 | - | organization from: | |
| 21 | - | (1) informing an individual, including a current or | |
| 22 | - | former recipient, about the availability of qualified health plans | |
| 23 | - | offered through an exchange, as the terms "exchange" and "qualified | |
| 24 | - | health plan" are defined by 45 C.F.R. Section 155.20; or | |
| 25 | - | (2) advertising a Medicare Advantage plan or related | |
| 26 | - | benefit offered under Part C of Title XVIII of the Social Security | |
| 27 | - | Act (42 U.S.C. Section 1395w-21 et seq.) at a community enrollment | |
| 28 | - | or other event. | |
| 18 | + | organization from informing a recipient about the availability of | |
| 19 | + | qualified health plans offered through an exchange. In this | |
| 20 | + | subsection, "exchange" and "qualified health plan" have the | |
| 21 | + | meanings assigned by 45 C.F.R. Section 155.20. | |
| 29 | 22 | SECTION 2. If before implementing any provision of this Act | |
| 30 | 23 | a state agency determines that a waiver or authorization from a | |
| 31 | 24 | federal agency is necessary for implementation of that provision, | |
| 32 | 25 | the agency affected by the provision shall request the waiver or | |
| 33 | 26 | authorization and may delay implementing that provision until the | |
| 34 | 27 | waiver or authorization is granted. | |
| 35 | 28 | SECTION 3. This Act takes effect September 1, 2025. |