Bill Text: TX HB3921 | 2015-2016 | 84th Legislature | Introduced
Bill Title: Relating to reimbursement for certain emergency eye health care services provided to persons enrolled in the Medicaid managed care program.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2015-03-23 - Referred to Public Health [HB3921 Detail]
Download: Texas-2015-HB3921-Introduced.html
| 84R13639 LED-F | ||
| By: Klick | H.B. No. 3921 | |
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| relating to reimbursement for certain emergency eye health care | ||
| services provided to persons enrolled in the Medicaid managed care | ||
| program. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Subchapter A, Chapter 533, Government Code, is | ||
| amended by adding Section 533.00265 to read as follows: | ||
| Sec. 533.00265. EMERGENCY EYE HEALTH CARE SERVICES. A | ||
| managed care organization that contracts with the commission under | ||
| this chapter shall reimburse an out-of-network eye care specialist | ||
| who is an enrolled Medicaid provider for providing to a recipient | ||
| enrolled in the organization's managed care plan emergency eye | ||
| health care services, including services to treat an emergency | ||
| medical condition affecting the visual system, eye, or adnexa, as | ||
| determined by executive commissioner rule, at a rate equal to the | ||
| rate at which the managed care organization would reimburse an eye | ||
| care specialist in the organization's provider network for the same | ||
| services. | ||
| SECTION 2. As soon as practicable after the effective date | ||
| of this Act, the executive commissioner of the Health and Human | ||
| Services Commission shall adopt the rules required by Section | ||
| 533.00265, Government Code, as added by this Act. | ||
| 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 immediately if it receives | ||
| a vote of two-thirds of all the members elected to each house, as | ||
| provided by Section 39, Article III, Texas Constitution. If this | ||
| Act does not receive the vote necessary for immediate effect, this | ||
| Act takes effect September 1, 2015. | ||
