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TX HB3863

Bill

Status

Engrossed

5/15/2025

Primary Sponsor

Terry Canales

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • 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

  • Exempts nominal fees charged by a physician's or provider's own bank for receiving electronic funds transfers from the prohibition

  • Applies to Medicaid managed care contracts entered into on or after September 1, 2025, while existing contracts remain governed by prior law

  • Applies to claims submitted to HMOs and preferred provider plans on or after September 1, 2025

  • 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

Committee Referrals

Health & Human Services5/16/2025
Insurance3/27/2025

Full Bill Text

No bill text available