TX HB4676

Formally defines "political subdivision network" as an organization formed by a political subdivision or pool that contracts directly with health care providers or through a health benefits pool to provide medical benefits to injured employees under workers' compensation

Requires political subdivision networks to comply with specific Insurance Code provisions regarding health care availability, accessibility standards in rural and nonrural areas, utilization review, independent review processes, and employee notice requirements

Mandates networks establish internal complaint resolution processes that comply with Insurance Code Subchapter I, Chapter 1305, including notice and appeal procedures for injured employees

Grants the commissioner of insurance authority to monitor political subdivision networks, enforce compliance, and impose sanctions, emergency orders, and administrative penalties for violations under Insurance Code Chapters 82, 83, and 84

Requires the commissioner of insurance to submit a written recommendation to the legislature by December 31, 2026, on whether political subdivision networks should be required to obtain certification from the Texas Department of Insurance

Takes effect January 1, 2026