HB 3538 Texas House · 89th Legislature (2025)

Relating to the Managed Care Consumer Choice Program.

HB 3538 establishes rules for Texas' Managed Care Consumer Choice Program, affecting health plans (managed care organizations) seeking contracts to provide services under state health programs. It requires plans to first meet certification, financial solvency, and performance standards before contracting with the Texas Health and Human Services Commission. The bill ensures program recipients (like those in STAR, CHIP, STAR Kids, or STAR+PLUS) can choose any qualified health plan in their area, while outlining consequences like corrective action plans or enrollment suspensions for non-compliant plans. The law applies specifically to these Medicaid programs but excludes the STAR Health program.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 24, 2025 Last action Mar 24, 2025