Bill Text: TX HB4222 | 2023-2024 | 88th Legislature | Introduced

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Bill Title: Relating to Medicaid reimbursement rates for certain ground ambulance services.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2023-03-21 - Referred to Human Services [HB4222 Detail]

Download: Texas-2023-HB4222-Introduced.html

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88R6699 MM-D
By: Longoria H.B. No. 4222

A BILL TO BE ENTITLED
AN ACT
relating to Medicaid reimbursement rates for certain ground
ambulance services.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 32.028, Human Resources Code, is amended
by adding Subsection (o) to read as follows:
(o) The executive commissioner shall ensure that the rules
governing the determination of medical assistance reimbursement
rates paid to a provider for providing ground ambulance services
are at least equal to the rates paid under Medicare for providing
ground ambulance services originating in a rural area.
SECTION 2. Section 533.005, Government Code, is amended by
adding Subsection (f) to read as follows:
(f) In addition to the requirements specified by Subsection
(a), a contract described by that subsection must require a managed
care organization to reimburse a provider who is in the
organization's provider network and who provides ground ambulance
services at a rate that is at least equal to the rate paid under
Medicare for the provision of ground ambulance services originating
in a rural area.
SECTION 3. (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(f),
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(f), Government Code, as added by this Act. To the extent of
a conflict between Section 533.005(f), 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 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 September 1, 2023.