Volume XXX, Number 5
Managed Care Protections Sought
Two bills that would extend protections for nursing facilities under Medicaid managed care are currently being considered by the Legislature.
HB 3523 by Human Services Committee Chairman Rep. Richard Raymond (D-Laredo) would ensure that the state continues to set the payment rate for nursing facilities. Under current law, rate setting would be turned over to insurers after September 1, 2019.
Current law will also let managed care organizations choose which facilities to contract with after September 1, 2017. SB 1602 by Sen. Lois Kolkhorst (R-Brenham) would require they work with any Medicaid provider until September 1, 2019. It would also ensure that facilities approved to accept Medicaid patients before September 1, 2015 would be afforded this “any willing provider” protection. This provision currently applied only to facilities that could accept Medicaid before September 1, 2013.
HB 3523 passed the House Human Services Committee unanimously and is headed to the House floor. SB 1602 was heard by the Senate Health and Human Services committee on Wednesday, April 22. The committee has not voted on it yet.
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