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 | |
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| 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 [ |
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| 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. | ||
