Texas 2025 - 89th Regular

Texas Senate Bill SB3001

Voted on by Senate
 
Out of House Committee
 
Voted on by House
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to requiring contracts with Medicaid managed care organizations to permit the organizations to offer nutrition counseling and instruction services in lieu of other state Medicaid plan services.

Impact

The legislation is significant as it alters the existing framework of Medicaid services, particularly concerning what services can be offered to recipients. By permitting the inclusion of nutrition counseling and instruction services, the bill could play a pivotal role in addressing health issues related to diet and nutrition, which are critical for many individuals receiving Medicaid. However, the bill expressly excludes other supportive measures such as home-delivered meals, food prescriptions, and grocery support from this framework, thereby delineating the scope of allowed services.

Summary

Senate Bill 3001 aims to amend the Government Code to allow Medicaid managed care organizations to offer nutrition counseling and instruction services as an alternative to certain other state Medicaid plan services. This change is intended to enhance the flexibility of service offerings and to provide recipients with additional options for health services that can potentially lead to better health outcomes. The bill specifies that these services should be medically appropriate, cost-effective, and evidence-based, indicating a focus on both quality and efficiency in healthcare delivery.

Conclusion

Overall, SB3001 represents a shift towards integrating nutrition-focused services within Medicaid managed care frameworks in Texas. By facilitating access to nutrition counseling, the bill aims to contribute to improved health outcomes for Medicaid recipients while also emphasizing cost-effectiveness and evidence-based practices in healthcare. The success of this initiative, however, will depend on effective implementation and monitoring of these services within the existing Medicaid structure.

Contention

Notable points of contention may arise from both supporters and opponents of the bill. Proponents are likely to argue that allowing nutrition counseling as an alternative to traditional services aligns with modern healthcare practices that prioritize preventative care and individual wellness. Conversely, detractors may express concerns about the limitations imposed by the bill, especially the exclusion of broader nutritional support services that could benefit Medicaid recipients. Additionally, there may be apprehensions regarding the practical implications of implementing these changes within the existing Medicaid framework, particularly around the necessary approvals from federal agencies.

Texas Constitutional Statutes Affected

Government Code

  • Chapter 540. Medicaid Managed Care Program
    • Section: 0272

Companion Bills

TX HB26

Identical Relating to authorizing Medicaid managed care organizations to offer nutrition support services in lieu of other state Medicaid plan services.

Previously Filed As

TX SB2244

Relating to certain evidence-based community support services offered by a Medicaid managed care organization in lieu of other services.

TX HB5023

Relating to requiring Medicaid managed care organizations to provide an annual bonus payment to certain Medicaid providers.

TX HB4611

Relating to the nonsubstantive revision of the health and human services laws governing the Health and Human Services Commission, Medicaid, and other social services.

TX HB4111

Relating to access to and the provision of behavioral and mental health care services and trauma-informed care in the Medicaid managed care program.

TX HB5018

Relating to certain payment recovery efforts by managed care organizations under Medicaid or the child health plan program.

TX HB1397

Relating to the provision of community recovery organization peer-to-peer services under Medicaid.

TX SB1239

Relating to reimbursement rates for eye health care services providers participating in the Medicaid managed care program.

TX HB3778

Relating to reimbursement rates for eye health care services providers participating in the Medicaid managed care program.

TX HB2983

Relating to a pilot project to provide medical nutrition assistance to certain Medicaid recipients in this state.

TX SB1675

Relating to a pilot project to provide medical nutrition assistance to certain Medicaid recipients in this state.

Similar Bills

NJ A5531

Establishes "Equitable Drug Pricing and Patient Access Act."

NJ S3538

Establishes "Equitable Drug Pricing and Patient Access Act."

NJ A2332

Requires all Medicaid managed care organizations to permit all pharmacies in State to dispense prescriptions for all covered medications.

NJ S1076

Requires all Medicaid managed care organization to permit all pharmacies in State to dispense prescriptions for all covered medications.

NJ A2491

Requires all Medicaid managed care organizations to permit all pharmacies in State to dispense prescriptions for all covered medications.

OK SB1675

Medicaid; modifying various provisions of the Ensuring Access to Medicaid Act. Emergency.

OK SB1337

State Medicaid program; directing Health Care Authority to enter into capitated contracts to transform Medicaid delivery system for certain Medicaid populations; modifying various provisions of the Ensuring Access to Medicaid Act; repealers. Effective date. Emergency. Conditional effect.

OK SB252

Medicaid; excluding prescription drug services from certain provisions; directing certain program delivery model. Effective date.