SUBCHAPTER G.  APPLICANTS AND RECIPIENTS


Text of section effective on April 01, 2025

Sec. 532.0301.  BILL OF RIGHTS AND BILL OF RESPONSIBILITIES.  (a)  The executive commissioner by rule shall adopt a bill of rights and a bill of responsibilities for each recipient.
(b)  The bill of rights must address a recipient's right to:
(1)  respect, dignity, privacy, confidentiality, and nondiscrimination;
(2)  a reasonable opportunity to choose a health benefits plan and primary care provider and to change to another plan or provider in a reasonable manner;
(3)  consent to or refuse treatment and actively participate in treatment decisions;
(4)  ask questions and receive complete information relating to the recipient's medical condition and treatment options, including specialty care;
(5)  access each available complaint process, receive a timely response to a complaint, and receive a fair hearing; and
(6)  timely access to care that does not have any communication or physical access barriers.
(c)  The bill of responsibilities must address a recipient's responsibility to:
(1)  learn and understand each right the recipient has under Medicaid;
(2)  abide by the health plan and Medicaid policies and procedures;
(3)  share information relating to the recipient's health status with the primary care provider and become fully informed about service and treatment options; and
(4)  actively participate in decisions relating to service and treatment options, make personal choices, and take action to maintain the recipient's health.
Added by Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 1.01, eff. April 1, 2025.