Bill Text: TX SB1915 | 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 Health & Human Services [SB1915 Detail]
Download: Texas-2023-SB1915-Introduced.html
88R11715 BDP-F | ||
By: Parker | S.B. No. 1915 |
|
||
|
||
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. |