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TX HB3863
Bill
Status
5/15/2025
Primary Sponsor
Terry Canales
Click for details
AI Summary
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Prohibits health maintenance organizations (HMOs), preferred provider benefit plan insurers, and Medicaid managed care organizations from requiring physicians or providers to accept claim payments via virtual credit cards or any payment method that assesses fees (processing fees, administrative fees, percentage amounts, or dollar amounts) to receive the payment
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Exempts nominal fees charged by a physician's or provider's own bank for receiving electronic funds transfers from the prohibition
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Applies to Medicaid managed care contracts entered into on or after September 1, 2025, while existing contracts remain governed by prior law
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Applies to claims submitted to HMOs and preferred provider plans on or after September 1, 2025
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Authorizes state agencies to delay implementation if federal waivers or authorizations are required
Legislative Description
Relating to the form of a claim payment to a health care provider by a health maintenance organization, preferred provider benefit plan, or managed care organization.
Health Care Providers
Last Action
Referred to Health & Human Services
5/16/2025