SB 2578

2025S0205-1  03/10/25
		By: Hancock
  S.B. No. 2578
  A BILL TO BE ENTITLED
  AN ACT
  relating to licensure and contracting for the delivery of medical
  assistance by nursing facilities.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 32.021, Human Resources Code, is amended
  by adding Subsection (t) to read as follows:
         (t)  The commission shall ensure that contracts for the
  delivery of medical assistance to a nursing facility:
               (1)  are awarded on terms and conditions that are no
  more stringent than the federal requirements governing Medicare
  certification and enrollment of skilled nursing facilities;
               (2)  allow uninterrupted Medicaid payments if:
                     (A)  the new provider meets the requirements of
  this chapter and licensure requirements under Chapter 242, Health
  and Safety Code;
                     (B)  the new provider assumes the prior provider's
  contract terms and conditions that were in effect as of the time of
  ownership transfer; and 
                     (C)  the new provider enters into a successor
  liability agreement with the commission and the prior provider
  indicating the new provider agrees to pay the commission for any
  liabilities that exist or may be found to exist during the period of
  the prior provider's contract with the commission; and
               (3)  satisfy the requirements of Section 242.033(h),
  Health and Safety Code. 
         SECTION 2.  Section 242.033, Health and Safety Code, is
  amended by adding Subsection (h) to read as follows:
         (h)  The department shall ensure that rules adopted under
  this section:
               (1)  provide for a single application for licensure and
  contracting for the delivery of medical assistance consistent with
  Section 532.0052, Government Code;
               (2)  require the department to issue a contract for the
  delivery of medical assistance within 30 days after the date of
  issuance of a temporary change of ownership license as provided by
  Section 242.0336(c); and
               (3)  ensure that vendor payments are made to nursing
  facilities within 30 days of the effective date of a contract for
  delivery of medical assistance, including requiring any managed
  care organization contracts with the commission to provide for
  expedited credentialing of nursing facilities consistent with the
  commission's rules within 30 days, and that managed care
  organizations' contracts with nursing facilities be effective on
  the date of the commission's Medicaid contract with such nursing
  facilities.
         SECTION 3.  This Act takes effect September 1, 2025.