- (a) The commission shall prepare and maintain a record of each enforcement action the commission initiates that results in a sanction, including a penalty, being imposed against a managed care organization for failure to comply with the terms of a contract to provide health care services to recipients through a Medicaid managed care plan the organization issues.
(b) The record must include:
- (1) the managed care organization's name and address;
- (2) a description of the contractual obligation the organization failed to meet;
- (3) the date of determination of noncompliance;
- (4) the date the sanction was imposed;
- (5) the maximum sanction that may be imposed under the contract for the violation; and
- (6) the actual sanction imposed against the organization.
(c) The commission shall:
(1) post and maintain on the commission's Internet website the records required by this section:
- (A) in English and Spanish; and
- (B) in a format that is readily accessible to and understandable by the public; and
- (2) update the list of records on the website at least quarterly.
- (d) The commission may not post information under this section that relates to a sanction while the sanction is the subject of an administrative appeal or judicial review.
- (e) A record prepared under this section may not include information that is excepted from disclosure under Chapter 552.
- (f) The executive commissioner shall adopt rules as necessary to implement this section.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.