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TX HB335
Bill
Status
11/12/2024
Primary Sponsor
Philip Cortez
Click for details
AI Summary
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Removes the existing requirement that health benefit plans pay noncontracting (out-of-network) dentists the same reimbursement rate as contracting (in-network) dentists
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Maintains the requirement that plan beneficiaries may assign their right to payment or reimbursement directly to the dentist who provides services
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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
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Mandates disclosure of any fees associated with payment methods on the plan's website and upon request by dentists or plan beneficiaries
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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Withdrawn from schedule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