Bill Text: TX HB4222 | 2023-2024 | 88th Legislature | Introduced
Bill Title: Relating to Medicaid reimbursement rates for certain ground ambulance services.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2023-03-21 - Referred to Human Services [HB4222 Detail]
Download: Texas-2023-HB4222-Introduced.html
88R6699 MM-D | ||
By: Longoria | H.B. No. 4222 |
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relating to Medicaid reimbursement rates for certain ground | ||
ambulance services. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 32.028, Human Resources Code, is amended | ||
by adding Subsection (o) to read as follows: | ||
(o) The executive commissioner shall ensure that the rules | ||
governing the determination of medical assistance reimbursement | ||
rates paid to a provider for providing ground ambulance services | ||
are at least equal to the rates paid under Medicare for providing | ||
ground ambulance services originating in a rural area. | ||
SECTION 2. Section 533.005, Government Code, is amended by | ||
adding Subsection (f) to read as follows: | ||
(f) In addition to the requirements specified by Subsection | ||
(a), a contract described by that subsection must require a managed | ||
care organization to reimburse a provider who is in the | ||
organization's provider network and who provides ground ambulance | ||
services at a rate that is at least equal to the rate paid under | ||
Medicare for the provision of ground ambulance services originating | ||
in a rural area. | ||
SECTION 3. (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(f), | ||
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(f), Government Code, as added by this Act. To the extent of | ||
a conflict between Section 533.005(f), 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 4. 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 5. This Act takes effect September 1, 2023. |