Shown verbatim: the complete text as captured from the official page posted by the Texas Legislature, fetched 2026-08-29. Where this bill amends existing law, language marked for deletion in the official page appears here in brackets. This is the enrolled version. The official bill page.
S.B. No. 963 AN ACT relating to allowing Medicaid managed care organizations to engage in marketing about the availability of certain private health benefit plan coverage. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 540.0055, Government Code, as effective April 1, 2025, is amended by adding Subsections (c) and (d) to read as follows: (c) The marketing guidelines the commission establishes under this section may not prohibit a Medicaid managed care organization from: (1) informing an individual, including a current or former recipient, about the availability of qualified health plans offered through an exchange, as the terms "exchange" and "qualified health plan" are defined by 45 C.F.R. Section 155.20; or (2) advertising a Medicare Advantage plan or related benefit offered under Part C of Title XVIII of the Social Security Act (42 U.S.C. Section 1395w-21 et seq.) at a community enrollment or other event. (d) The marketing guidelines the commission establishes under this section must require that a Medicaid managed care organization that informs an individual about the availability of qualified health plans offered through an exchange, as the terms "exchange" and "qualified health plan" are defined by 45 C.F.R. Section 155.20, also inform the individual about the potential deductibles, copayments, and other cost-sharing requirements under a qualified health plan. A Medicaid managed care organization informing an individual about the availability of qualified health plans offered through the exchange or an affiliate of the organization may not offer the individual material or financial gain as an actual or implied incentive for enrolling in a qualified health plan. SECTION 2. 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 3. This Act takes effect September 1, 2025. ______________________________ ______________________________ President of the Senate Speaker of the House I hereby certify that S.B. No. 963 passed the Senate on April 10, 2025, by the following vote: Yeas 30, Nays 0; and that the Senate concurred in House amendment on May 21, 2025, by the following vote: Yeas 31, Nays 0. ______________________________ Secretary of the Senate I hereby certify that S.B. No. 963 passed the House, with amendment, on April 29, 2025, by the following vote: Yeas 119, Nays 27, two present not voting. ______________________________ Chief Clerk of the House Approved: ______________________________ Date ______________________________ Governor
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