Texas 2025 - 89th Regular

Texas Senate Bill SB1266 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	By: Alvarado, Hinojosa of Hidalgo S.B. No. 1266
2		-	(In the Senate - Filed February 13, 2025; February 28, 2025,
3		-	read first time and referred to Committee on Health & Human
4		-	Services; April 28, 2025, reported adversely, with favorable
5		-	Committee Substitute by the following vote: Yeas 9, Nays 0;
6		-	April 28, 2025, sent to printer.)
7		-	Click here to see the committee vote
8		-	COMMITTEE SUBSTITUTE FOR S.B. No. 1266 By: Perry
	1	+	89R4745 CMO-F
	2	+	By: Alvarado S.B. No. 1266
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13	7		A BILL TO BE ENTITLED
14	8		AN ACT
15	9		relating to Medicaid provider enrollment and credentialing
16	10		processes.
17	11		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
18		-	SECTION 1. Subchapter D, Chapter 532, Government Code, is
19		-	amended by adding Sections 532.01511 ~~and 532.01512 to read as~~
20		-	follows:
	12	+	SECTION 1. Subchapter D, Chapter 532, Government Code, as
	13	+	effective April 1, 2025, is amended by adding Sections 532.01511
	14	+	and 532.01512 to read as follows:
21	15		Sec. 532.01511. PROVIDER ENROLLMENT AND CREDENTIALING
22	16		PROCESSES: PROVIDER SUPPORT; COMPLAINTS. (a) The commission shall
23		-	ensure that providers have access to a support team for ~~the Internet~~
24		-	portal established under Section 532.0151 that:
	17	+	ensure that providers have access to a dedicated support team for
	18	+	the Internet portal established under Section 532.0151 that:
25	19		(1) assists current and prospective Medicaid
26	20		providers in completing the Medicaid provider enrollment and
27	21		credentialing processes; and
28	22		(2) reduces the administrative burdens associated
29	23		with those processes.
30	24		(b) The commission shall:
31	25		(1) annually evaluate the performance of the support
32	26		team described by Subsection (a), including the timeliness of
33	27		assistance the support team provides; and
34	28		(2) not later than September 1 of each year, post on
35	29		the commission's Internet website a report summarizing the results
36	30		of the evaluation conducted under Subdivision (1).
37	31		(c) For purposes of improving the commission's Medicaid
38	32		provider enrollment and credentialing processes, the commission
39	33		shall develop a procedure by which a provider may electronically
40	34		submit complaints and feedback about those processes and the
41	35		support provided by the support team described by Subsection (a).
42	36		Information about the procedure must:
43	37		(1) be prominently posted on the commission's or the
44	38		commission's designee's Internet website in the same location that
45	39		instructions and resources for using the Internet portal
46	40		established under Section 532.0151 are posted; and
47	41		(2) allow a provider to submit a complaint or provide
48	42		feedback through an electronic form from that location.
49	43		Sec. 532.01512. NOTICE OF PROVIDER DISENROLLMENT. Before
50		-	the commission may disenroll a Medicaid provider ~~for failing to~~
51		-	~~complete the~~ enrollment revalidation ~~process~~, the commission must:
	44	+	the commission may disenroll a Medicaid provider during the
	45	+	provider's enrollment revalidation period, the commission must:
52	46		(1) not later than 30 days before the date of
53	47		disenrollment provide electronically and by mail to the provider
54	48		written notice of the commission's disenrollment determination;
55	49		and
56	50		(2) allow the provider to address any deficiencies in
57	51		the provider's application for revalidation of enrollment before
58	52		the date the provider will be disenrolled.
59	53		SECTION 2. Notwithstanding Section 532.01511, Government
60	54		Code, as added by this Act, the Health and Human Services Commission
61	55		shall conduct the initial evaluation and post the report
62	56		summarizing the results of the evaluation as required by that
63	57		section not later than September 1, 2026.
64	58		SECTION 3. As soon as possible after the effective date of
65	59		this Act, the Health and Human Services Commission shall:
66	60		(1) ensure the Internet portal support team required
67	61		by Section 532.01511(a), Government Code, as added by this Act, is
68	62		established; and
69	63		(2) adopt rules necessary to implement the changes in
70	64		law made by this Act.
71	65		SECTION 4. If before implementing any provision of this Act
72	66		a state agency determines that a waiver or authorization from a
73	67		federal agency is necessary for implementation of that provision,
74	68		the agency affected by the provision shall request the waiver or
75	69		authorization and may delay implementing that provision until the
76	70		waiver or authorization is granted.
77	71		SECTION 5. This Act takes effect September 1, 2025.
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