The bill, titled "Managed Care Consumer Choice Program," introduces new provisions to the Government Code, specifically adding Sections 533.0021 and 533.0022. These sections outline the process for the Health and Human Services Commission to contract with managed care organizations to provide health care services to recipients. Key requirements for these contracts include certification of the organization, assurances of financial solvency, and compliance with performance measures. The bill also mandates that the commission publish minimum selection criteria for managed care organizations and establish performance measures to evaluate their effectiveness. Additionally, it specifies that contracts must include necessary provisions and that services cannot commence until a readiness review is completed.

Furthermore, the bill amends Section 62.155 of the Health and Safety Code to require the commission to contract with health plan providers through the Managed Care Consumer Choice Program starting September 1, 2027, rather than selecting them through a competitive procurement process. It also outlines a timeline for the commission to begin requesting applications and entering contracts, with a focus on ensuring continuity of care for recipients during the transition to the new program. The act will take effect immediately upon receiving a two-thirds vote from both houses or on September 1, 2025, if that vote is not achieved.

Statutes affected:
Introduced: Health and Safety Code 62.155 (Health and Safety Code 62)