Texas 2025 - 89th Regular

Texas House Bill HB4410 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	89R16032 AB-D
2	2	By: Longoria H.B. No. 4410
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7	7	A BILL TO BE ENTITLED
8	8	AN ACT
9	9	relating to Medicaid reimbursement rates for certain ground
10	10	ambulance services.
11	11	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
12	12	SECTION 1. Section 32.028, Human Resources Code, is amended
13	13	by adding Subsection (o) to read as follows:
14	14	(o) The executive commissioner shall ensure that the rules
15	15	governing the determination of medical assistance reimbursement
16	16	base rates paid to a provider for providing ground ambulance
17	17	services are at least equal to 40 percent of the rate paid under
18	18	Medicare for providing ground ambulance services originating in a
19	19	rural area.
20	20	SECTION 2. Subchapter F, Chapter 540, Government Code, as
21	21	effective April 1, 2025, is amended by adding Section 540.0281 to
22	22	read as follows:
23	23	Sec. 540.0281. REIMBURSEMENT RATE FOR CERTAIN GROUND
24	24	AMBULANCE SERVICE PROVIDERS. A contract to which this subchapter
25	25	applies must require the contracting Medicaid managed care
26	26	organization to:
27	27	(1) reimburse a provider who is in the organization's
28	28	provider network and who provides ground ambulance services at a
29	29	rate that is at least equal to the rate paid under Medicare for the
30	30	provision of ground ambulance services originating in a rural area;
31	31	and
32	32	(2) annually increase the reimbursement rate by three
33	33	percent.
34	34	SECTION 3. (a) The Health and Human Services Commission
35	35	shall, in a contract between the commission and a managed care
36	36	organization under Chapter 540, Government Code, as effective April
37	37	1, 2025, that is entered into or renewed on or after the effective
38	38	date of this Act, require that the managed care organization comply
39	39	with Section 540.0281, Government Code, as added by this Act.
40	40	(b) The Health and Human Services Commission shall seek to
41	41	amend contracts entered into with managed care organizations before
42	42	the effective date of this Act to require those managed care
43	43	organizations to comply with Section 540.0281, Government Code, as
44	44	added by this Act. To the extent of a conflict between Section
45	45	540.0281, Government Code, as added by this Act, and a provision of
46	46	a contract with a managed care organization entered into before the
47	47	effective date of this Act, the contract provision prevails.
48	48	SECTION 4. If before implementing any provision of this Act
49	49	a state agency determines that a waiver or authorization from a
50	50	federal agency is necessary for implementation of that provision,
51	51	the agency affected by the provision shall request the waiver or
52	52	authorization and may delay implementing that provision until the
53	53	waiver or authorization is granted.
54	54	SECTION 5. This Act takes effect September 1, 2025.