The Kansas Managed Care Bid Fidelity and Accountability Act aims to enhance the procurement and oversight of managed care organizations within the state's medical assistance program. The bill establishes definitions for key terms such as "bid fidelity," "clinical service contract," and "material deviation," and mandates that managed care organizations maintain adherence to their proposals throughout the contract duration. Specifically, it prohibits the termination of clinical service contracts with healthcare providers cited in the organization's request for proposal (RFP) response during the first 24 months of the contract, except for specified causes. Additionally, the bill requires managed care organizations to notify the Department of Health and Environment 90 days prior to any proposed contract cancellations, along with justifications and plans for ensuring continued access to services.

To enforce compliance, the bill outlines penalties for material deviations from RFP responses, including civil penalties, liquidated damages, and potential suspension of new member assignments. The Department of Health and Environment is tasked with conducting biannual audits to assess adherence to bid fidelity and will report findings to the legislature. Furthermore, healthcare providers whose contracts are improperly canceled may pursue legal action for damages. The act also emphasizes transparency by requiring that all RFP responses and technical proposals be made public within 30 days of contract execution.