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TX SB2450

Bill

Status

Introduced

3/13/2025

Primary Sponsor

Bryan Hughes

Click for details

Origin

Senate

89th Legislature Regular Session

AI Summary

  • Requires the Health and Human Services Commission to establish a dedicated support team to assist Medicaid providers with enrollment and credentialing processes, with annual performance evaluations posted by September 1 of each year

  • Mandates 30-day advance written notice (electronic and mail) to providers before disenrollment during revalidation periods, with opportunity to address application deficiencies

  • Prohibits Medicaid managed care organizations from using subcontracted vision plans or third-party administrators to control eye health care provider network participation, contracting, or scope of services

  • Requires reimbursement of eye health care providers at rates at least equal to Medicaid fee-for-service rates for the same or similar services

  • Mandates that managed care organizations include in their networks all optometrists, therapeutic optometrists, and ophthalmologists who seek participation, agree to contract terms and rates, meet standards of care, and are enrolled Medicaid providers

Legislative Description

Relating to the participation and reimbursement of and requirements affecting certain providers, including providers of eye health care and vision care services, under Medicaid.

Electronic Information Systems

Last Action

Left pending in committee

4/30/2025

Committee Referrals

Health & Human Services3/25/2025

Full Bill Text

No bill text available