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Senate bill would bar vision plans from cutting provider pay below 95% of Medicaid rate, sponsors say
Summary
Senate Bill 2450 would prohibit vision‑plan subcontractors to Medicaid MCOs from cutting optometrist pay below 95% of the state‑determined Medicaid rate; optometrists testified the practice has led to unsustainably low reimbursements.
Senate Bill 2450, carried by Sen. Hughes, would set a minimum reimbursement floor when Medicaid managed‑care organizations subcontract vision benefits to third‑party vision plans. The committee substitute narrows the original measure to address reimbursement and removes a fiscal note from the bill text.
Sponsor’s presentation and problem described: Sen. Hughes said optometrists across Texas report vision‑plan fee schedules that are far below state Medicaid…
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