1. (a) The commission may provide medical transportation program services on a regional basis through a managed transportation delivery model using managed transportation organizations and providers, as appropriate, that:

   1. (1) operate under a capitated rate system;
   2. (2) assume financial responsibility under a full-risk model;
   3. (3) operate a call center;
   4. (4) use fixed routes when available and appropriate; and
   5. (5) agree to provide data to the commission if the commission determines that the data is required to receive federal matching funds.
2. (b) The commission shall procure managed transportation organizations under the medical transportation program through a competitive bidding process for each managed transportation region as determined by the commission.

3. (c) The commission may not delay providing medical transportation program services through a managed transportation delivery model in:

   1. (1) a county with a population of one million or more:

      1. (A) in which all or part of a municipality with a population of one million or more is located; and
      2. (B) that is located adjacent to a county with a population of 2.5 million or more; or
   2. (2) a county with a population of at least 60,000 but not more than 70,000 that is located adjacent to a county with a population of at least 500,000 but not more than 1.5 million.

Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.

Acts 2025, 89th Leg., R.S., Ch. 204 (H.B. 1620), Sec. 8.034(a), eff. September 1, 2025.