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| 2 | + | (In the Senate - Filed January 29, 2025; February 13, 2025, |
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| 3 | + | read first time and referred to Committee on Health & Human |
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| 4 | + | Services; March 31, 2025, reported adversely, with favorable |
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| 5 | + | Committee Substitute by the following vote: Yeas 9, Nays 0; |
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| 6 | + | March 31, 2025, sent to printer.) |
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| 7 | + | Click here to see the committee vote |
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| 8 | + | COMMITTEE SUBSTITUTE FOR S.B. No. 963 By: Perry |
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| 4 | 9 | | |
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| 5 | 10 | | |
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| 6 | 11 | | A BILL TO BE ENTITLED |
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| 7 | 12 | | AN ACT |
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| 8 | 13 | | relating to allowing Medicaid managed care organizations to engage |
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| 9 | 14 | | in marketing about the availability of certain private health |
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| 10 | 15 | | benefit plan coverage. |
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| 11 | 16 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 12 | 17 | | SECTION 1. Section 540.0055, Government Code, as effective |
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| 13 | 18 | | April 1, 2025, is amended by adding Subsection (c) to read as |
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| 14 | 19 | | follows: |
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| 15 | 20 | | (c) The marketing guidelines the commission establishes |
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| 16 | 21 | | under this section may not prohibit a Medicaid managed care |
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| 17 | 22 | | organization from: |
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| 18 | 23 | | (1) informing an individual, including a current or |
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| 19 | 24 | | former recipient, about the availability of qualified health plans |
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| 20 | 25 | | offered through an exchange, as the terms "exchange" and "qualified |
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| 21 | 26 | | health plan" are defined by 45 C.F.R. Section 155.20; or |
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| 22 | 27 | | (2) advertising a Medicare Advantage plan or related |
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| 23 | 28 | | benefit offered under Part C of Title XVIII of the Social Security |
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| 24 | 29 | | Act (42 U.S.C. Section 1395w-21 et seq.) at a community enrollment |
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| 25 | 30 | | or other event. |
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| 26 | 31 | | SECTION 2. If before implementing any provision of this Act |
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| 27 | 32 | | a state agency determines that a waiver or authorization from a |
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| 28 | 33 | | federal agency is necessary for implementation of that provision, |
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| 29 | 34 | | the agency affected by the provision shall request the waiver or |
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| 30 | 35 | | authorization and may delay implementing that provision until the |
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| 31 | 36 | | waiver or authorization is granted. |
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| 32 | 37 | | SECTION 3. This Act takes effect September 1, 2025. |
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