Bill Text: TX HB1430 | 2019-2020 | 86th Legislature | Introduced


Bill Title: Relating to termination by a managed care organization of a provider's participation in Medicaid and child health plan program provider networks.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2019-02-27 - Referred to Human Services [HB1430 Detail]

Download: Texas-2019-HB1430-Introduced.html
  86R6754 LED-D
 
  By: Guerra H.B. No. 1430
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to termination by a managed care organization of a
  provider's participation in Medicaid and child health plan program
  provider networks.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 533.006, Government Code, is amended by
  adding Subsection (c) to read as follows:
         (c)  A managed care organization may not terminate a health
  care provider's participation in the organization's provider
  network without cause.
         SECTION 2.  Section 62.155, Health and Safety Code, is
  amended by adding Subsection (e) to read as follows:
         (e)  A managed care organization or other entity selected as
  a health plan provider under the child health plan program may not
  terminate a health care provider's participation in the
  organization's or entity's provider network without cause.
         SECTION 3.  The changes in law made by this Act apply to a
  contract between a managed care organization or other entity and a
  health care provider entered into or renewed on or after the
  effective date of this Act. A contract entered into or renewed
  before that date is governed by the law in effect on the date the
  contract was entered into or renewed, and that law is continued in
  effect for that purpose.
         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 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, 2019.
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