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TX SB267

Bill

Status

Introduced

11/12/2024

Primary Sponsor

Charles Perry

Click for details

Origin

Senate

89th Legislature Regular Session

AI Summary

  • Requires managed care plans to designate any licensed Texas physician as a participating (in-network) provider upon application, without conditions or ability to refuse

  • Sets mandatory reimbursement rate for physicians joining networks through this process at 90% of the highest contracted rate the plan pays for the same service

  • Applies to health maintenance organizations, preferred provider plans, state employee health plans (Chapters 1551, 1575, 1579, 1601), CHIP, and Medicaid managed care programs

  • Excludes physicians holding only administrative medicine licenses from the definition of "physician" eligible for this designation

  • Takes effect September 1, 2025, and applies to health benefit plans delivered, issued, or renewed on or after January 1, 2026

Legislative Description

Relating to unconditional designation of physicians as participating providers in a managed care plan.

PHYSICIANS

Last Action

Referred to Health & Human Services

2/3/2025

Committee Referrals

Health & Human Services2/3/2025

Full Bill Text

No bill text available