This website will be unavailable from Friday, April 26, 2024 at 6:00 p.m. through Monday, April 29, 2024 at 7:00 a.m. due to data center maintenance.

 
 
  H.B. No. 1579
 
 
 
 
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.  Subchapter A, Chapter 533, Government Code, is
  amended by adding Section 533.01315 to read as follows:
         Sec. 533.01315.  REIMBURSEMENT FOR SERVICES PROVIDED OUTSIDE
  OF REGULAR BUSINESS HOURS.  (a) This section applies only to a
  recipient receiving medical assistance through any Medicaid
  managed care model or arrangement.
         (b)  The commission shall ensure that a federally qualified
  health center, 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.
         (c)  The executive commissioner shall adopt rules regarding
  the days, times of days, and holidays that are considered to be
  outside of regular business hours for purposes of Subsection (b).
         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 September 1, 2007.
 
 
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
 
 
         I certify that H.B. No. 1579 was passed by the House on April
  26, 2007, by the following vote:  Yeas 138, Nays 1, 2 present, not
  voting.
 
  ______________________________
  Chief Clerk of the House   
 
 
         I certify that H.B. No. 1579 was passed by the Senate on May
  17, 2007, by the following vote:  Yeas 31, Nays 0.
 
  ______________________________
  Secretary of the Senate    
  APPROVED:  _____________________
                     Date          
   
            _____________________
                   Governor