Bill > HB4352

This bill aims to address hospital-owned outpatient facilities and the adoption of site-neutral reimbursement rates under Medicaid. Key provisions include: 1. Requiring hospitals that acquire outpatient health care facilities to provide written notice to the Office of the Attorney General and the Health and Human Services Commission (HHSC). 2. Directing the HHSC to ensure that Medicaid reimbursement rates for outpatient services provided by hospital-owned outpatient facilities are the same as the rates for independent, physician-owned practices, unless there is evidence-based rationale for a different rate. 3. Mandating the Texas Department of Insurance to study the feasibility and advisability of expanding the site-neutral payment policy to commercial health benefit plan issuers in the state. 4. Requiring the HHSC to adopt or amend rules to comply with the site-neutral reimbursement provisions by January 1, 2024. 5. Applying the hospital acquisition notification requirement only to acquisitions occurring on or after the effective date of the bill, which is September 1, 2023. The goal of these provisions is to promote cost-effective and transparent healthcare services for Medicaid recipients and, potentially, for commercial health plan enrollees as well.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=88R&Bill=HB4352