Michelle Apodaca

Industries

Education and Clerkships

J.D., Texas A&M University School of Law (formerly Texas Wesleyan University School of Law), 1998

B.A., Business Administration, Austin College, 1989

  • Law Clerk to the Federal Public Defender, U.S. District Court for the Western District of Texas, June-July 1996

Admissions

Texas

Profile

Healthcare providers benefit from Michelle Apodaca’s unique blend of business and legal experience, her comprehensive understanding of healthcare legislative policy and regulation, and her unwavering enthusiasm to assist clients address the challenges they face with day-to-day operations as well as long-term objectives and strategic alignment. Hospitals and health systems, physician practices, and healthcare payors rely on Michelle’s insight into operational, business and related regulatory issues including alignment of incentives and business strategies in the post Affordable Care Act health care marketplace; assisting in the transition from fee-for-service to quality/value based payments; implementing and maintaining quality initiatives and developing and leading state legislative and regulatory policy agendas with the Texas Legislature, Texas Health and Human Services Commission, Texas Department of State Health Services, Texas Department of Insurance, Texas Medical Board, Texas Dental Board, and Texas Pharmacy Board.

Prior to entering private practice, Michelle served the Texas Hospital Association members as the vice president of advocacy, legal and public policy. Earlier in her career she served as in-house legal counsel and compliance officer for a Texas health maintenance organization and as a legislative aide in both the Texas State Senate and the U.S. House of Representatives. The breadth and depth of her experience underscore Michelle's zealous advocacy for clients who depend on her advice to plan proactively for the evolving healthcare landscape. Michelle’s understanding of policy and politics enables her to assist clients participating in state-managed Medicaid programs, the Children's Health Insurance Program (CHIP) and the Medicare Advantage program. Michelle also assists clients with the licensure of healthcare collaborative organizations and ACOs, HMOs, third-party administrators, discount healthcare programs, acute care hospitals, Texas non-profit health corporations (5.01a’s) and behavioral healthcare facilities and units. Providers consult Michelle on securing Medicare provider-based status and federally qualified health center/look-alike funding. She also develops public policy, advocacy and regulatory affairs programs at the federal and state levels for healthcare providers.

Michelle’s legislative and regulatory areas of experience include:

  • 1115 Medicaid Transformation Waiver
  • Contracting with state agencies
  • Health insurance policy (commercial, Medicare, Medicare Advantage, Medicaid, Medicaid managed care, STAR+PLUS and CHIP)
  • Modifying the Texas Pharmacy Act
  • Dental service organizations
  • Texas Dual Eligible Integrated Care project
  • Health care facility and provider licensure
  • State specific designations impacting reimbursements

Michelle is a frequent and respected speaker on the Texas Medicaid program and the impact of the Affordable Care Act on health care providers. She has spoken at numerous regional and national health law and trade association conferences, and from 2012-2014 she co-chaired the program planning committee for the ABA Health Law Section’s Annual Washington Health Law Summit.

Newsletter

Health Law Vitals

Health Law Vitals - A Healthcare Newsletter from Haynes and Boone

The Haynes and Boone Health Law Vitals Newsletter explores significant developments and legislation in healthcare law. This edition discusses the FDA's regulatory oversight of stem cell therapies and regenerative medicine products, Texas telemedicine rulemaking, and the FDA’s new digital health software precertification program.

Selected Publications and Speeches

  • “Payor Provider Convergence: A Review of Current Trends,” presenter, ABA Health Law Section, 2016 Emerging Issues in Healthcare Law Conference, panel, March 3, 2016.
  • “Telemedicine – Regulatory Landscape,” presenter, Alliant Fifth Annual Healthcare Education Forum, February 12, 2016.

Professional and Community Activities

  • American Bar Association, Health Section Governing Council
  • Co-Chair, American Bar Association, Washington Health Law Summit
  • Hispanic Bar Association
  • Austin Health Lawyers Association
  • Graduate of Leadership Texas
  • Graduate of Leadership El Paso
  • Affiliate of Leadership Austin
  • Former Chair, Government Relations and Medicaid Tax Force, Greater El Paso Chamber of Commerce
  • Board Member, Seton Fifty
  • Board of Directors of Children’s Advocacy Centers
  • Junior League of El Paso and Austin
  • Former Member of Board of Directors, Keep Austin Beautiful
  • Former Member of Board of Directors, Caring Family Network
  • Former Member of Board of Directors, YMCA of El Paso

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