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TX HB335

Bill

Status

Introduced

11/12/2024

Primary Sponsor

Philip Cortez

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • Removes the existing requirement that health benefit plans pay noncontracting (out-of-network) dentists the same reimbursement rate as contracting (in-network) dentists

  • Maintains the requirement that plan beneficiaries may assign their right to payment or reimbursement directly to the dentist who provides services

  • Requires health benefit plans to offer at least one payment method that provides dentists 100% of the contracted reimbursement amount without requiring the dentist to pay fees to access the payment

  • Mandates disclosure of any fees associated with payment methods on the plan's website and upon request by dentists or plan beneficiaries

  • Applies to health benefit plans delivered, issued, or renewed on or after January 1, 2026, with the Act taking effect September 1, 2025

Legislative Description

Relating to the payments and reimbursements for noncontracting and contracting provider dentists under certain health benefit plans.

Insurance

Last Action

Withdrawn from schedule

3/19/2025

Committee Referrals

Insurance2/28/2025

Full Bill Text

No bill text available