Bill Text: TX SB1424 | 2013-2014 | 83rd Legislature | Introduced
Bill Title: Relating to the inclusion of optometrists, therapeutic optometrists, and ophthalmologists in the health care provider networks of certain Medicaid managed care organizations.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2013-04-16 - Left pending in committee [SB1424 Detail]
Download: Texas-2013-SB1424-Introduced.html
83R9260 EES-F | ||
By: Hinojosa | S.B. No. 1424 |
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relating to the inclusion of optometrists, therapeutic | ||
optometrists, and ophthalmologists in the health care provider | ||
networks of certain Medicaid managed care organizations. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter A, Chapter 533, Government Code, is | ||
amended by adding Section 533.0065 to read as follows: | ||
Sec. 533.0065. EYE HEALTH CARE SERVICE PROVIDERS. Subject | ||
to Section 32.047, Human Resources Code, but notwithstanding any | ||
other law, if the commission determines that recipient access to | ||
optometrists, therapeutic optometrists, and ophthalmologists under | ||
any Medicaid managed care model or arrangement in a region is not | ||
adequate, the commission shall require that each managed care | ||
organization that contracts with the commission to provide health | ||
care services to recipients in that region under the model or | ||
arrangement include in the organization's provider network each | ||
optometrist, therapeutic optometrist, and ophthalmologist in the | ||
region who: | ||
(1) agrees to comply with the terms and conditions of | ||
the organization; | ||
(2) agrees to accept the prevailing provider contract | ||
rate of the organization; | ||
(3) agrees to abide by the standards of care required | ||
by the organization; and | ||
(4) has the credentials required by the organization. | ||
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, 2013. |