85R14946 JG-D     By: Muñoz, Jr. H.B. No. 3884       A BILL TO BE ENTITLED   AN ACT   relating to the establishment of a schedule for the payment of   reimbursable claims under 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 533.0067 to read as follows:          Sec. 533.0067.  REQUIRED CONTRACT PROVISIONS; SCHEDULE FOR   PAYMENT OF REIMBURSABLE CLAIMS. (a) A managed care organization   that contracts with the commission to provide health care services   to recipients shall establish a schedule for the payment of   reimbursable claims that complies with Sections 533.005(a)(7) and   (7-a) and include the schedule in a contract between the managed   care organization and a health care provider in the managed care   organization's provider network.          (b)  If a managed care organization to which this section   applies delegates the payment of reimbursable claims to a third   party through a subcontract or otherwise, the third party shall   also pay those claims according to the schedule described by   Subsection (a).          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.  The change in law made by this Act applies only   to a contract between a managed care organization and a health care   provider entered into or renewed on or after the effective date of   this Act. A contract between a managed care organization and a   health care provider entered into or renewed before the effective   date of this Act is governed by the law applicable to the contract   immediately before the effective date of this Act, and that law is   continued in effect for that purpose.          SECTION 4.  This Act takes effect September 1, 2017.