Bill Text: TX HB36 | 2011 | 82nd Legislature 1st Special | Introduced


Bill Title: Relating to reimbursement for health care services provided at certain times to persons enrolled in the Medicaid managed care program.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2011-06-07 - Referred to Public Health [HB36 Detail]

Download: Texas-2011-HB36-Introduced.html
  82S10093 EES-D
 
  By: Guillen H.B. No. 36
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to reimbursement for health care services provided at
  certain times to persons enrolled in the Medicaid managed care
  program.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 533.01315, Government Code, is amended
  by amending Subsection (b) and adding Subsection (b-1) to read as
  follows:
         (b)  Subject to Subsection (b-1), the [The] commission shall
  ensure that a federally qualified health center, physician office,
  urgent care facility, rural health clinic, or municipal health
  department's public clinic is reimbursed for health care services
  provided to a recipient outside of regular business hours,
  including on a weekend or holiday, at a rate that is equal to the
  allowable rate for those services as determined under Section
  32.028, Human Resources Code, regardless of whether the recipient
  has a referral from the recipient's primary care provider.
         (b-1)  A physician who is a specialist may not be reimbursed
  under this section for the provision of specialty services.
         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 on the 91st day after the
  last day of the legislative session.
feedback