TX HB4102

Prohibits health benefit plan issuers from offering higher reimbursement rates to practitioners at nonaffiliated providers as an incentive to join the issuer's affiliated provider network

Bars issuers from paying affiliated providers more than nonaffiliated providers for the same health care services, except for value-based or capitation reimbursement arrangements

Prohibits issuers from directing patients to use affiliated providers through communications, advertising, or marketing, with exceptions for providers accepting lower rates or participating in risk-sharing arrangements

Prevents issuers from requiring patients to use affiliated providers to receive maximum plan benefits, offering reduced cost-sharing for using affiliated providers, or soliciting prescription transfers to affiliated providers

Applies to health benefit plans delivered, issued, or renewed on or after January 1, 2026, but excludes Medicaid, CHIP, state employee plans, teacher plans, and workers' compensation