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Amend CSSB 10 by adding the following appropriately numbered
section:
SECTION ____. Subchapter B, Chapter 531, Government Code,
is amended by adding Section 531.02414 to read as follows:
Sec. 531.02414. BILLING COORDINATION SYSTEM. (a) The
commission shall, on or before March 1, 2008, contract for the
implementation of a billing coordination system that will, upon
entry in the claims system, identify within 24 hours whether
another entity has primary responsibility for paying the claim and
submit the claim to the issuer the system determines is the primary
payor.
(b) The executive commissioner shall adopt rules for the
purpose of enabling the system to identify an entity with primary
responsibility for paying a claim and establish reporting
requirements for any entity that may have a contractual
responsibility to pay for the types of services provided under the
Medicaid program.
(c) An entity that holds a permit, license, or certificate
of authority issued by a regulatory agency of the state must allow
the contractor under subsection (a) access to databases to allow
the contractor to carry out the purposes of this subchapter subject
to the contractor's contract with the commission and rules adopted
under this subchapter and is subject to an administrative penalty
or other sanction as provided by the law applicable to the permit,
license, or certificate of authority for a violation by the entity
of a rule adopted under this subchapter.
(d) After June 1, 2008, no public funds shall be expended on
entities not in compliance with this subchapter unless a memorandum
of understanding is entered into between the entity and the
commissioner.
(e) Information obtained under this subchapter is
confidential. The agent may use the information only for the
purposes authorized under this subchapter. A person commits an
offense if the person knowingly uses information obtained under
this subchapter for any purpose not authorized under this
subchapter. An offense under this subsection is a Class B
misdemeanor.