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TX HB3151

TX HB3151
Relating to expedited credentialing of certain federally qualified health center providers by Medicaid managed care organizations.


summary

Introduced
02/21/2025
In Committee
05/23/2025
Crossed Over
05/13/2025
Passed
06/20/2025
Dead
Signed/Enacted/Adopted
06/20/2025

Introduced Session

89th Legislature Regular Session

Bill Summary

AN ACT relating to expedited credentialing of certain federally qualified health center providers by Medicaid managed care organizations.

AI Summary

This bill modifies Texas government code to expand expedited credentialing provisions for Medicaid managed care organizations, specifically including federally qualified health centers (FQHCs) and their healthcare providers. Currently, only providers from established healthcare groups with Medicaid managed care organization contracts could utilize expedited credentialing, but the bill now allows FQHCs and their providers to qualify if they: (1) have a current contract with a Medicaid managed care organization or are part of an FQHC with such a contract, (2) are Medicaid-enrolled providers, (3) agree to comply with the contract terms, and (4) submit all required documentation for the credentialing process. A federally qualified health center, as defined by federal law, is typically a community-based healthcare provider that offers comprehensive primary care services to underserved populations, often in rural or low-income areas. The bill will take effect on September 1, 2025, and includes a provision allowing state agencies to delay implementation if federal waivers or authorizations are necessary.

Committee Categories

Health and Social Services

Sponsors (9)

Last Action

Effective on 9/1/25 (on 06/20/2025)

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