Bill Text: TX SB921 | 2025-2026 | 89th Legislature | Comm Sub
Bill Title: Relating to conducting an ex parte renewal of a recipient's Medicaid eligibility.
Sponsorship: Partisan Bill (Republican 2)
Status: (Engrossed) 2025-05-23 - Considered in Calendars [SB921 Detail]
Download: Texas-2025-SB921-Comm_Sub.html
| By: Sparks | S.B. No. 921 | |
| (Noble) | ||
|
|
||
|
|
||
| relating to conducting an ex parte renewal of a recipient's | ||
| Medicaid eligibility. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Subchapter J, Chapter 532, Government Code, as | ||
| effective April 1, 2025, is amended by adding Section 532.0456 to | ||
| read as follows: | ||
| Sec. 532.0456. EX PARTE RENEWALS PROHIBITED. (a) In this | ||
| section: | ||
| (1) "Ex parte renewal" means a redetermination of a | ||
| recipient's Medicaid eligibility that is conducted automatically | ||
| without requiring information from the recipient using information | ||
| from verifiable electronic data sources or that is otherwise | ||
| available to the commission. | ||
| (2) "Public assistance program" means a program to | ||
| provide benefits to persons based on need that is administered by | ||
| the commission and established under Subtitle C, Title 2, Human | ||
| Resources Code, or other law. | ||
| (b) Except as expressly required by federal law, the | ||
| commission or a state agency that administers any part of Medicaid | ||
| may not accept information provided by a recipient in an | ||
| application for benefits under another public assistance program, | ||
| including the supplemental nutrition assistance program | ||
| established under Chapter 33, Human Resources Code, as verifiable | ||
| electronic data for purposes of conducting an ex parte renewal of | ||
| the recipient's Medicaid eligibility. | ||
| (c) This section does not prohibit the commission or a state | ||
| agency that administers any part of Medicaid from receiving, | ||
| reviewing, and, if appropriate, conducting a redetermination of a | ||
| recipient's Medicaid eligibility based on information provided in | ||
| an application described by Subsection (b) that indicates a change | ||
| in circumstances that may affect the recipient's Medicaid | ||
| eligibility. | ||
| SECTION 2. Not later than the 180th day after the effective | ||
| date of this Act, the Health and Human Services Commission shall | ||
| seek any waiver or authorization from a federal agency necessary to | ||
| implement Section 532.0456, Government Code, as added by this Act. | ||
| The commission may delay implementing that section until the waiver | ||
| or authorization is granted. | ||
| SECTION 3. 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, 2025. | ||
