By: Alvarado, et al. S.B. No. 1266     (Hull)           A BILL TO BE ENTITLED   AN ACT   relating to Medicaid provider enrollment and credentialing   processes.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Subchapter D, Chapter 532, Government Code, is   amended by adding Sections 532.01511 and 532.01512 to read as   follows:          Sec. 532.01511.  PROVIDER ENROLLMENT AND CREDENTIALING   PROCESSES:  PROVIDER SUPPORT; COMPLAINTS.  (a)  The commission   shall ensure that providers have access to a support team for the   Internet portal established under Section 532.0151 that:                (1)  assists current and prospective Medicaid   providers in completing the Medicaid provider enrollment and   credentialing processes; and                (2)  reduces the administrative burdens associated   with those processes.          (b)  The commission shall:                (1)  annually evaluate the performance of the support   team described by Subsection (a), including the timeliness of   assistance the support team provides; and                (2)  not later than September 1 of each year, post on   the commission's Internet website a report summarizing the results   of the evaluation conducted under Subdivision (1).          (c)  For purposes of improving the commission's Medicaid   provider enrollment and credentialing processes, the commission   shall develop a procedure by which a provider may electronically   submit complaints and feedback about those processes and the   support provided by the support team described by Subsection (a).     Information about the procedure must:                (1)  be prominently posted on the commission's or the   commission's designee's Internet website in the same location that   instructions and resources for using the Internet portal   established under Section 532.0151 are posted; and                (2)  allow a provider to submit a complaint or provide   feedback through an electronic form from that location.          Sec. 532.01512.  NOTICE OF PROVIDER DISENROLLMENT. Before   the commission may disenroll a Medicaid provider for failing to   complete the enrollment revalidation process, the commission must:                (1)  not later than 30 days before the date of   disenrollment provide electronically and by mail to the provider   written notice of the commission's disenrollment determination;   and                (2)  allow the provider to address any deficiencies in   the provider's application for revalidation of enrollment before   the date the provider will be disenrolled.          SECTION 2.  Notwithstanding Section 532.01511, Government   Code, as added by this Act, the Health and Human Services Commission   shall conduct the initial evaluation and post the report   summarizing the results of the evaluation as required by that   section not later than September 1, 2026.          SECTION 3.  As soon as possible after the effective date of   this Act, the Health and Human Services Commission shall:                (1)  ensure the Internet portal support team required   by Section 532.01511(a), Government Code, as added by this Act, is   established; and                (2)  adopt rules necessary to implement the changes in   law made by this Act.          SECTION 4.  If before implementing any provision of this Act   a state agency determines that a waiver or authorization from a   federal agency is necessary for implementation of that provision,   the agency affected by the provision shall request the waiver or   authorization and may delay implementing that provision until the   waiver or authorization is granted.          SECTION 5.  This Act takes effect September 1, 2025.