1 | 1 | | 89R8739 LRM-D |
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2 | 2 | | By: Hagenbuch S.B. No. 1640 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to access to criminal history record information for |
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10 | 10 | | purposes of the Medicaid program. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Section 411.1143, Government Code, as effective |
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13 | 13 | | April 1, 2025, is amended by amending Subsection (a-1) and adding |
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14 | 14 | | Subsection (e) to read as follows: |
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15 | 15 | | (a-1) Criminal history record information the Health and |
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16 | 16 | | Human Services Commission or the office of inspector general is |
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17 | 17 | | authorized to obtain under Subsection (a) includes criminal history |
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18 | 18 | | record information relating to: |
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19 | 19 | | (1) a person that: |
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20 | 20 | | (A) has a direct or indirect ownership interest, |
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21 | 21 | | or a combination of direct and indirect ownership interests, that |
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22 | 22 | | equals five percent or more in the provider or person applying to |
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23 | 23 | | enroll as a provider; |
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24 | 24 | | (B) owns an interest of five percent or more in a |
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25 | 25 | | mortgage, deed of trust, promissory note, or other obligation |
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26 | 26 | | secured by the provider or person applying to enroll as a provider |
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27 | 27 | | if that interest equals at least five percent of the value of the |
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28 | 28 | | property or other assets of the provider or person applying to |
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29 | 29 | | enroll as a provider; |
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30 | 30 | | (C) is an officer or director of the provider or |
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31 | 31 | | person applying to enroll as a provider if that provider or |
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32 | 32 | | applicant is organized as a corporation; or |
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33 | 33 | | (D) is a partner in the provider or person |
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34 | 34 | | applying to enroll as a provider if that provider or applicant is |
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35 | 35 | | organized as a partnership [a person with a direct or indirect |
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36 | 36 | | ownership or control interest, as defined by 42 C.F.R. Section |
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37 | 37 | | 455.101, in a provider of five percent or more]; and |
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38 | 38 | | (2) a managing employee of the provider or person |
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39 | 39 | | applying to enroll as a provider [a person whose information is |
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40 | 40 | | required to be disclosed in accordance with 42 C.F.R. Part 1001]. |
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41 | 41 | | (e) In this section: |
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42 | 42 | | (1) "Managing employee," with respect to a provider or |
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43 | 43 | | person applying to enroll as a provider, means an individual, |
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44 | 44 | | including a general manager, business manager, administrator, or |
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45 | 45 | | director, who: |
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46 | 46 | | (A) exercises operational or managerial control |
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47 | 47 | | over all or part of the provider or applicant; or |
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48 | 48 | | (B) directly or indirectly conducts the daily |
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49 | 49 | | operations of all or part of the provider or applicant. |
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50 | 50 | | (2) "Medicaid agency" means the single state agency |
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51 | 51 | | administering or supervising the administration of the state |
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52 | 52 | | Medicaid plan. |
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53 | 53 | | (3) "Ownership interest," with respect to a provider |
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54 | 54 | | or person applying to enroll as a provider, means having equity in |
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55 | 55 | | the provider's or applicant's capital, stock, or profits. |
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56 | 56 | | (4) "Provider" means: |
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57 | 57 | | (A) an individual or entity that provides |
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58 | 58 | | Medicaid services under an agreement with the Medicaid agency; or |
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59 | 59 | | (B) an individual or entity that engages in the |
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60 | 60 | | delivery of health care services through the Medicaid managed care |
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61 | 61 | | program and that is authorized by this state to deliver those |
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62 | 62 | | services. |
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63 | 63 | | SECTION 2. This Act takes effect April 1, 2025, if this Act |
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64 | 64 | | receives a vote of two-thirds of all the members elected to each |
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65 | 65 | | house, as provided by Section 39, Article III, Texas Constitution. |
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66 | 66 | | If this Act does not receive the vote necessary for effect on that |
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67 | 67 | | date, this Act takes effect September 1, 2025. |
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