David Spiller, Texas State Representative of the 68th district (R) | https://www.facebook.com/RepresentativeDavidSpiller/
David Spiller, Texas State Representative of the 68th district (R) | https://www.facebook.com/RepresentativeDavidSpiller/
More specifically, the official text was summarized by the state legislature as ’’Relating to the submission, payment, and audit of certain claims for and utilization review of health services, including services provided under the Medicaid managed care and child health plan programs’’.
The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.
This bill, effective Sept. 1, 2025, amends rules related to the submission, payment, and audit of claims for health services under Medicaid managed care and child health plan programs. It requires contracts with Medicaid managed care organizations to stipulate specific timelines for paying "clean claims" from providers: within 10 days for nursing and certain facility services, 30 days for other long-term services, and 45 days for all other claims, unless an agreement allows up to 60 days. These contracts must also outline detailed info on claims processing and require disclosure and tracking mechanisms for provider appeals. A provision prohibits delegating utilization review to artificial intelligence, maintaining the responsibility with trained personnel to ensure compliance with applicable laws. Additionally, the bill mandates applying these provisions to child health plan providers and mandates the Health and Human Services Commission to align existing contracts with the new requirements. Changes to insurance code provisions on utilization review apply to health plans renewed on or after Jan. 1, 2026.
David Spiller, chair of the House Committee on S/C on County & Regional Government and member of the House Committee on Redistricting, proposed another 21 bills during the 89(R) legislative session.
Spiller graduated from the University of Texas at Austin with a BBA and again from St. Mary's University with a JD.
David Spiller is currently serving in the Texas State House, representing the state's 68th House district. He replaced previous state representative Drew Springer in 2021.
Bills in Texas go through a multi-step legislative process, including committee review, debates, and votes in both chambers before reaching a final decision. Each session, there are typically thousands of bills introduced, but only a portion successfully navigate the process to become law.
You can read more about the bills and other measures here.
| Bill Number | Date Introduced | Short Description |
|---|---|---|
| HB 5010 | 04/03/2025 | Relating to the memorial designation of certain portions of an international border wall and the use of grants related to homeland security for those purposes |
| HB 4790 | 04/03/2025 | Relating to including certain veteran-owned businesses within the definition of a historically underutilized business for purposes of state contracting |
| HB 4256 | 04/01/2025 | Relating to actions brought by the attorney general on behalf of certain persons under the Texas Free Enterprise and Antitrust Act of 1983 |
| HB 4054 | 03/27/2025 | Relating to consumer protections against certain medical and health care billing by emergency medical services providers |
| HB 3856 | 03/27/2025 | Relating to immigration documentation or other information to verify citizenship or immigration status and to notification to the federal government of an arrested or detained person who is unlawfully present in the United States; creating a criminal offense |
| HB 2500 | 03/26/2025 | Relating to certain proceedings by the Public Utility Commission of Texas regarding water or sewer service |
| HB 3413 | 03/21/2025 | Relating to the designation of a portion of U.S. Highway 183 in Eastland County as the Deputy Sheriff David Bosecker Memorial Highway |
| HB 3082 | 03/20/2025 | Relating to the small and mid-sized district allotment under the public school finance system |
| HB 3060 | 03/20/2025 | Relating to actions brought by the attorney general on behalf of certain persons under the Texas Free Enterprise and Antitrust Act of 1983 |
| HB 2922 | 03/19/2025 | Relating to use of artificial intelligence in utilization review conducted for health benefit plans |
| HB 323 | 03/18/2025 | Relating to requiring political subdivisions of this state to participate in the federal electronic verification of employment authorization program, or E-verify |
| HB 2566 | 03/17/2025 | Relating to the enforcement of state and federal immigration laws by state agencies, local entities, and peace officers; creating a civil penalty |
| HB 1425 | 03/11/2025 | Relating to a period of prayer and reading of the Bible or other religious text in public schools |
| HB 945 | 03/06/2025 | Relating to the authority of a justice of the peace to issue a search warrant to collect a blood specimen from a person arrested for certain intoxication criminal offenses |
| HB 898 | 03/06/2025 | Relating to the Texas Sovereignty Act |
| HB 875 | 03/05/2025 | Relating to workers' compensation insurance coverage and bid bonding requirements for small municipal construction projects |
| HB 840 | 03/05/2025 | Relating to the removal, relocation, alteration, or construction of certain monuments, memorials, or designations located on public property; authorizing a civil penalty |
| HB 811 | 03/05/2025 | Relating to the applicability of lobbyist registration requirements to a person who provides legal services to a political subdivision |
| HB 790 | 03/05/2025 | Relating to the amount of an expenditure made by certain political subdivisions for which a competitive procurement method may be required to be used |
| HB 243 | 02/27/2025 | Relating to the authority of the attorney general to acquire by eminent domain certain real property owned by aliens or foreign entities |
| HB 191 | 02/27/2025 | Relating to the purchase of or acquisition of title to real property by certain foreign entities |
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