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SB 2093

Relating to expedited credentialing of certain federally qualified health center providers by managed care plan issuers and Medicaid managed care organizations.

89th Legislature (2025) Introduced by Robert Nichols

Texas bill requiring managed care plans to expedite credentialing for federally qualified health center providers to improve access for underserved Medicaid populations.

Co-author authorized
#civilremedies&liabilities(i0065) #healthcareproviders(i0387) #humanservices--medicalassistance(i0905) #insurance--health&accident(i0422) #managedcare(s0454) #medicaid(s4885) #occupationalregulation--healthoccupations(i0540) #physicians(s1282)
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Bill Summary · SB 2093

Legislative bill overview

SB 2093 requires managed care plan issuers and Medicaid managed care organizations to expedite the credentialing process for providers working at federally qualified health centers (FQHCs). The bill streamlines administrative requirements to reduce delays in bringing FQHC providers into managed care networks.

Why is this important

FQHCs serve low-income and underserved populations, often in rural and urban areas with limited healthcare access. Expedited credentialing reduces administrative barriers that can delay patient care and limit provider participation in managed care plans, potentially improving access to services for vulnerable populations covered by Medicaid and managed care plans.

Potential points of contention

  • Credentialing standards trade-off: Accelerated timelines may raise questions about whether safety and quality verification standards are adequately maintained, particularly regarding background checks and credentials verification
  • Plan compliance burden: Managed care organizations may argue that expedited processes increase operational costs without corresponding reimbursement adjustments
  • Scope ambiguity: The bill's definition of "certain" federally qualified health center providers may create implementation uncertainty about which providers qualify for expedited treatment

Compiled from official sources — confirm details with the bill’s official record.

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