89R17972 AND-F     By: Noble H.B. No. 2865     Substitute the following for H.B. No. 2865:     By:  Hull C.S.H.B. No. 2865       A BILL TO BE ENTITLED   AN ACT   relating to conducting an ex parte renewal of a recipient's   Medicaid eligibility.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Subchapter J, Chapter 532, Government Code, as   effective April 1, 2025, is amended by adding Section 532.0456 to   read as follows:          Sec. 532.0456.  EX PARTE RENEWALS PROHIBITED. (a) In this   section:                (1)  "Ex parte renewal" means a redetermination of a   recipient's Medicaid eligibility that is conducted automatically   without requiring information from the recipient using information   from verifiable electronic data sources or that is otherwise   available to the commission.                (2)  "Public assistance program" means a program to   provide benefits to persons based on need that is administered by   the commission and established under Subtitle C, Title 2, Human   Resources Code, or other law.          (b)  Except as expressly required by federal law, the   commission or a state agency that administers any part of Medicaid   may not accept information provided by a recipient in an   application for benefits under another public assistance program,   including the supplemental nutrition assistance program   established under Chapter 33, Human Resources Code, as verifiable   electronic data for purposes of conducting an ex parte renewal of   the recipient's Medicaid eligibility.          (c)  This section does not prohibit the commission or a state   agency that administers any part of Medicaid from receiving,   reviewing, and, if appropriate, conducting a redetermination of a   recipient's Medicaid eligibility based on information provided in   an application described by Subsection (b) that indicates a change   in circumstances that may affect the recipient's Medicaid   eligibility.          SECTION 2.  Not later than the 180th day after the effective   date of this Act, the Health and Human Services Commission shall   seek any waiver or authorization from a federal agency necessary to   implement Section 532.0456, Government Code, as added by this Act.   The commission may delay implementing that section until the waiver   or authorization is granted.          SECTION 3.  This Act takes effect immediately if it receives   a vote of two-thirds of all the members elected to each house, as   provided by Section 39, Article III, Texas Constitution.  If this   Act does not receive the vote necessary for immediate effect, this   Act takes effect September 1, 2025.