By: Hughes S.B. No. 963
(In the Senate - Filed January 29, 2025; February 13, 2025,
read first time and referred to Committee on Health & Human
Services; March 31, 2025, reported adversely, with favorable
Committee Substitute by the following vote: Yeas 9, Nays 0;
March 31, 2025, sent to printer.)
Click here to see the committee vote
COMMITTEE SUBSTITUTE FOR S.B. No. 963 By: Perry
A BILL TO BE ENTITLED
AN ACT
relating to allowing Medicaid managed care organizations to engage
in marketing about the availability of certain private health
benefit plan coverage.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 540.0055, Government Code, as effective
April 1, 2025, is amended by adding Subsection (c) to read as
follows:
(c) The marketing guidelines the commission establishes
under this section may not prohibit a Medicaid managed care
organization from:
(1) informing an individual, including a current or
former recipient, about the availability of qualified health plans
offered through an exchange, as the terms "exchange" and "qualified
health plan" are defined by 45 C.F.R. Section 155.20; or
(2) advertising a Medicare Advantage plan or related
benefit offered under Part C of Title XVIII of the Social Security
Act (42 U.S.C. Section 1395w-21 et seq.) at a community enrollment
or other event.
SECTION 2. If before implementing any provision of this Act
a state agency determines that a waiver or authorization from a
federal agency is necessary for implementation of that provision,
the agency affected by the provision shall request the waiver or
authorization and may delay implementing that provision until the
waiver or authorization is granted.
SECTION 3. This Act takes effect September 1, 2025.
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