Bill Text: TX HB3151 | 2025-2026 | 89th Legislature | Enrolled

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Bill Title: Relating to expedited credentialing of certain federally qualified health center providers by Medicaid managed care organizations.

Sponsorship: Slight Partisan Bill (Democrat 6-3)

Status: (Passed) 2025-06-20 - Effective on 9/1/25 [HB3151 Detail]

Download: Texas-2025-HB3151-Enrolled.html

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H.B. No. 3151

AN ACT
relating to expedited credentialing of certain federally qualified
health center providers by Medicaid managed care organizations.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Sections 540.0656(a) and (d), Government Code,
are amended to read as follows:
(a) In this section, "applicant provider" means a physician
or other health care provider, including a federally qualified
health center as defined by 42 U.S.C. Section 1396d(l)(2)(B) or a
health care provider for the federally qualified health center,
applying for expedited credentialing.
(d) To qualify for expedited credentialing and payment
under Subsection (e), an applicant provider must:
(1) have a current contract with a Medicaid managed
care organization or be a member of or a health care provider for
one of the following that has a current contract with a Medicaid
managed care organization:
(A) an established health care provider group; or
(B) a federally qualified health center as
defined by 42 U.S.C. Section 1396d(l)(2)(B) [an established health
care provider group that has a current contract with a Medicaid
managed care organization];
(2) be a Medicaid-enrolled provider;
(3) agree to comply with the terms of the contract
described by Subdivision (1); and
(4) submit all documentation and other information the
Medicaid managed care organization requires as necessary to enable
the organization to begin the credentialing process the
organization requires to include a provider in the organization's
provider network.
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.
______________________________ ______________________________
President of the Senate Speaker of the House
I certify that H.B. No. 3151 was passed by the House on May
13, 2025, by the following vote: Yeas 139, Nays 1, 2 present, not
voting.
______________________________
Chief Clerk of the House
I certify that H.B. No. 3151 was passed by the Senate on May
26, 2025, by the following vote: Yeas 31, Nays 0.
______________________________
Secretary of the Senate
APPROVED: _____________________
Date
_____________________
Governor