HB 5284 Texas House · 89th Legislature (2025)

Relating to considerations in awarding contracts under the Medicaid managed care program to managed care organizations that are public benefit corporations.

HB 5284 modifies Texas Medicaid managed care contract rules to favor public benefit corporation (PBC) managed care organizations (MCOs). It requires the Health and Human Services Commission to apply a 5% bid score increase to PBCs and give them preference in case of tied bids when awarding Medicaid contracts. The bill also adds standard considerations like provider network participation for Medicaid/charity care patients and continuity of care beyond eligibility. This policy change directly affects MCOs bidding for Medicaid contracts and takes effect September 1, 2025.
Sub-Topics: Medicaid
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2025
Committee Review
Floor Vote
Governor
Introduced Apr 7, 2025 Last action Apr 7, 2025
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Total actions
3
Key actions
0
Committee
1
Apr 7, 2025
Committee
Referred to Human Services
lower
Apr 7, 2025
Introduced
Read first time
lower
0 primary · 0 co-sponsors

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