Relating to imposing a moratorium on the awarding of certain contracts by the Health and Human Services Commission under Medicaid and the child health plan program.
Impact
The main outcome of SB2547 will be a freeze on new contractual agreements, allowing for the renewal of existing contracts only. This could significantly impact the operational dynamics of managed care organizations, as it limits their ability to compete for new contracts during this period. By restricting new contracts, the bill is anticipated to provide an opportunity for a thorough examination of the existing arrangements and the overall structure of medical services provided under Medicaid and the child health plan program.
Summary
SB2547 imposes a temporary moratorium on the awarding of certain contracts by the Health and Human Services Commission (HHSC) specifically related to Medicaid and the child health plan program. This bill specifically targets contracts awarded to managed care organizations for delivering health care services to enrollees under the STAR Medicaid managed care program and children covered by the child health plan. The moratorium extends from the bill's effective date until the next review by the Texas Sunset Advisory Commission, which is designed to evaluate the continued necessity of the HHSC functions and programs.
Contention
Notably, the bill could stimulate contention among stakeholders depending on their investment in existing managed care organizations. Suppliers and healthcare providers who rely heavily on these contracts might argue that the moratorium disrupts the competitive landscape and hinders innovation in service delivery, while supporters may contend that such a pause is necessary to assess and ensure the effectiveness and efficiency of the current programs in place. Additionally, the bill raises potential concerns regarding compliance with federal guidelines, as provisions allow for delays in implementation until necessary federal waivers are obtained.
Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.
Relating to establishing a minimum wage for certain personal attendants under Medicaid and other programs administered by the Health and Human Services Commission.
Relating to the eligibility for and provision of benefits under Medicaid or the child health plan program for certain individuals committed, placed, or detained in certain facilities and settings.
Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.
Relating to the establishment of the case assistance affiliate program to provide certain assistance to Medicaid recipients and child health plan program enrollees.