Texas 2023 - 88th Regular

Texas Senate Bill SB2193

Filed
3/9/23  
Out of Senate Committee
4/20/23  
Voted on by Senate
4/27/23  
Out of House Committee
5/3/23  
Voted on by House
5/5/23  
Governor Action
5/19/23  

Caption

Relating to programs established and operated by federally qualified health centers to provide primary care access to certain employees.

Impact

If implemented, SB 2193 will substantially amend state laws governing healthcare access and the operating models of FQHCs. It aims to reduce the cost of primary care services, enhance preventive care measures, and increase the availability of health services tailored to low-income or at-risk individuals. Furthermore, the bill incorporates provisions that allow FQHCs to require cost-sharing measures for program participation, potentially making primary care services more accessible yet sustainable for employers. By establishing a framework for assessing the effectiveness of this pilot program, SB 2193 creates a structured approach to improving state healthcare outcomes.

Summary

Senate Bill 2193 establishes programs run by federally qualified health centers (FQHCs) aimed at improving access to primary care services for uninsured employees working in small businesses. The legislation seeks to pilot a model of direct primary care that combines FQHC services with incentives for participating employers and employees. This innovative approach is intended to address the gaps in healthcare access faced by low-income workers, contributing positively to their health and well-being. By promoting an improved healthcare model, the bill also aims to enable small businesses to remain competitive while addressing the health insurance challenges they often encounter.

Sentiment

The sentiment surrounding SB 2193 appears largely supportive, particularly from healthcare advocates and small business representatives. Supporters argue that the bill offers a pragmatic solution for enhancing healthcare access among uninsured employees, an area that has languished under traditional insurance models. Notable organizations, such as the Texas Association of Community Health Centers, expressed enthusiasm about the potential for innovative partnerships between FQHCs and small businesses. However, some stakeholders may be cautious regarding the financial implications of participation and the fairness of the cost-sharing aspects introduced in the bill.

Contention

Despite its support, SB 2193 still presents points of contention, particularly surrounding the requirement for employers and their employees to share the cost of primary care services. Critics may argue that this could limit participation among the most vulnerable populations who might find even subsidized costs prohibitive. Additionally, concerns could arise about the capability of FQHCs to deliver quality care without the regulatory oversight typically associated with insurance providers. The balance between ensuring affordable care and maintaining high standards in healthcare delivery will be a critical focus as stakeholders discuss the bill's implications.

Companion Bills

TX HB3317

Identical Relating to programs established and operated by federally qualified health centers to provide primary care access to certain employees.

Previously Filed As

TX HB3151

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

TX AB1113

Federally qualified health centers: mission spend ratio.

TX SB2093

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

TX AB2036

Medi-Cal: federally qualified health centers and rural health clinics.

TX HB2655

Relating to operation by certain nonprofit organizations of certain regional health care programs for employees of small employers.

TX SB270

Federally Qualified Health Center Operations

TX SB607

Relating to behavioral health services provided by federally qualified health centers.

TX H2537

Relative to primary care access

TX HB517

Talent Readiness and Industry Needs (TRAIN) Act, qualified employees authorized to teach a career and technical education program, tax credits provided to employers that loan qualified employees, workforce teaching certificate established

TX HB1288

Support for Federally Qualified Health Centers

Similar Bills

No similar bills found.