TX HB4992

Adds definitions for "exclusive dealing clause" (provisions restricting a contracting entity's ability to contract with other providers) and "tying clause" (provisions requiring inclusion of specific provider group members in networks or products) to the Texas Insurance Code

Prohibits health care providers from offering, entering into, amending, or renewing network contracts that include exclusive dealing or tying clauses, in addition to existing prohibitions on anti-steering, anti-tiering, gag, and most favored nation clauses

Declares any exclusive dealing or tying clause in a provider network contract void and unenforceable, while allowing remaining contract provisions to remain in effect

Applies only to contracts entered into or renewed on or after the effective date; existing contracts remain governed by prior law

Takes effect immediately upon two-thirds vote of both legislative chambers, or September 1, 2025, if that threshold is not met