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TX SB742
Bill
Status
1/8/2025
Primary Sponsor
Charles Schwertner
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AI Summary
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Expands the definition of "managed care plan" to include health maintenance organizations, preferred provider benefit plans, and exclusive provider benefit plans under the Insurance Code
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Requires the Office of Public Insurance Counsel to monitor network adequacy of managed care plans by reviewing filings, applications, and requests related to access plans or waivers of network adequacy requirements
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Grants the Office of Public Insurance Counsel authority to file objections and request hearings regarding any managed care plan application or filing related to access plans or network adequacy waivers, including those already approved
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Entitles the Office of Public Insurance Counsel to access all managed care plan filings and supporting documentation related to network adequacy, and allows the office to comment on concerns about inadequate networks, potential violations, or inaccurate provider directories
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Requires the office to develop annual consumer report cards comparing managed care plans on quality of care, network adequacy, and performance, with comparisons made among the same types of plans (HMOs to HMOs, PPOs to PPOs, etc.)
Legislative Description
Relating to the adequacy and effectiveness of managed care plan networks.
Consumer Protection
Last Action
Referred to Health & Human Services
2/7/2025