TX SB884

Requires health maintenance organizations (HMOs) and insurers offering preferred provider benefit plans to establish shared savings programs that allow enrollees to receive incentive payments when they obtain covered nonemergency health care services at prices below the insurer's average contracted rate

Mandates HMOs and insurers maintain publicly accessible websites and toll-free phone lines disclosing their average contracted rates for health care services, updated at least monthly

Provides enrollees who pay less than the disclosed average rate to a direct pay provider with a shared savings incentive payment equal to 50% of the difference, minus applicable deductibles, copayments, or coinsurance

Sets minimum and maximum thresholds for incentive payments: no payment required if less than $50, and annual cap at the greater of $20,000 or the enrollee's deductible plus out-of-pocket maximum

Applies to health care plans and insurance policies delivered, issued, or renewed on or after January 1, 2026, with the act taking effect September 1, 2025