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TX HB3366

Bill

Status

Introduced

2/26/2025

Primary Sponsor

Tom Oliverson

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • Requires health benefit plan issuers or administrators to send a representative with authority to reach a binding payment agreement to mediation proceedings with out-of-network providers

  • Mandates that health benefit plan issuers or administrators provide complete contact information to the mediator as soon as practicable after the mediator is appointed

  • Authorizes mediators to compel arbitration within 45 days after filing their report if a party failed to participate in mediation in good faith, which bars civil action by either party

  • Caps arbitrator fees at a maximum amount set by commissioner rule, requiring the amount to be reasonable and fairly compensate the arbitrator

  • Applies to health care services provided on or after January 1, 2026, with an effective date of September 1, 2025

Legislative Description

Relating to mediation and arbitration between health benefit plan issuers or administrators and out-of-network health care providers.

Consumer Protection

Last Action

Referred to Insurance

3/21/2025

Committee Referrals

Insurance3/21/2025

Full Bill Text

No bill text available