Bill Text: TX HB3916 | 2023-2024 | 88th Legislature | Introduced
Bill Title: Relating to the reimbursement of certain durable medical equipment providers participating in the Medicaid managed care program.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2023-03-20 - Referred to Human Services [HB3916 Detail]
Download: Texas-2023-HB3916-Introduced.html
| 88R11715 BDP-F | ||
| By: Raney | H.B. No. 3916 | |
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| relating to the reimbursement of certain durable medical equipment | ||
| providers participating in the Medicaid managed care program. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Section 533.005, Government Code, is amended by | ||
| adding Subsection (i) to read as follows: | ||
| (i) In addition to the requirements specified by Subsection | ||
| (a) and notwithstanding any other law, a contract described by that | ||
| subsection must require the managed care organization to reimburse | ||
| a specialty provider of durable medical equipment and related | ||
| supplies and services who provides the equipment, supplies, or | ||
| services to a recipient at a rate that is at least equal to 95 | ||
| percent of the rate paid under the Medicaid fee-for-service fee | ||
| schedule. | ||
| SECTION 2. (a) The Health and Human Services Commission | ||
| shall, in a contract between the commission and a managed care | ||
| organization under Chapter 533, Government Code, that is entered | ||
| into or renewed on or after the effective date of this Act, require | ||
| that the managed care organization comply with Section 533.005(i), | ||
| Government Code, as added by this Act. | ||
| (b) The Health and Human Services Commission shall seek to | ||
| amend contracts entered into with managed care organizations under | ||
| Chapter 533, Government Code, before the effective date of this Act | ||
| to require those managed care organizations to comply with Section | ||
| 533.005(i), Government Code, as added by this Act. To the extent of | ||
| a conflict between Section 533.005(i), Government Code, as added by | ||
| this Act, and a provision of a contract with a managed care | ||
| organization entered into before the effective date of this Act, | ||
| the contract provision prevails. | ||
| SECTION 3. 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 4. This Act takes effect September 1, 2023. | ||
