Bill > SB963

This bill modifies marketing guidelines for Medicaid managed care organizations (MCOs) in Texas, allowing them to provide more information about alternative health coverage options. Specifically, the bill permits MCOs to inform current or former Medicaid recipients about qualified health plans available through healthcare exchanges and Medicare Advantage plans. When informing individuals about these plans, MCOs must also disclose potential deductibles, copayments, and other cost-sharing requirements. The bill strictly prohibits MCOs from offering material or financial incentives to encourage enrollment in these alternative plans. The provisions will take effect on September 1, 2025, and the bill includes a provision allowing state agencies to delay implementation if federal waivers or authorizations are needed. Key terms like "exchange" and "qualified health plan" are defined by federal regulations, ensuring consistent interpretation across healthcare systems. The bill aims to provide Medicaid recipients with more comprehensive information about their potential healthcare coverage options while maintaining consumer protection standards.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB963