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TX HB3695

Bill

Status

Introduced

3/4/2025

Primary Sponsor

Angelia Orr

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • Prohibits health maintenance organizations (HMOs) from charging enrollees a higher copayment for physical therapist office visits than for primary care physician visits, when no referral was required

  • Applies the same copayment limit requirement to preferred provider benefit plans (PPOs), preventing them from charging insureds more for physical therapist visits than primary care visits when no referral was needed

  • Applies only to health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026

  • Takes effect September 1, 2025

Legislative Description

Relating to copayments required by a health maintenance organization or preferred provider benefit plan for visiting physical therapists.

Health Care Providers

Last Action

Committee report sent to Calendars

5/14/2025

Committee Referrals

Insurance3/25/2025

Full Bill Text

No bill text available