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Relating to the enrollment of health care providers in Medicaid.
Estimated Two-year Net Impact to General Revenue Related Funds for SB1235, Committee Report 1st House, Substituted: a negative impact of ($717,230) through the biennium ending August 31, 2021.
The bill would make no appropriation but could provide the legal basis for an appropriation of
funds to implement the provisions of the bill.
The Health and Human Services Commission is required to implement a provision of this Act only
if the legislature appropriates money specifically for that purpose. If the legislature does not
appropriate money specifically for that purpose, the commission may, but is not required to,
implement a provision of this Act using other appropriations available for that purpose.
SB 1235 would allow providers that are credentialed by a managed care organization or enrolled in Medicare to participate in Medicaid without also enrolling with the state's Medicaid claims administrator. Additionally, the Health and Human Services Commission would be required to develop a process to streamline the Medicaid enrollment of a provider who: (1) provides services to a recipient who is also enrolled in a private group health benefit plan; and (2) is enrolled as a provider in that group health benefit plan.
Texas Action supports SB 1235 because it adheres to the principle of limited government and free markets in lessening the regulatory burden of providers that would fulfill the state's healthcare obligation toward Medicaid recipients. At a time when Texas has critically underserved regions of the state for Medicaid services, it is vital that the legislature takes actions such as these to both increase the number of Medicaid providers as well as decrease the regulatory burden on those that should wish to enter into the marketplace.