Relating to health benefit plan coverage of telemedicine, teledentistry, and telehealth services provided by only synchronous or asynchronous audio interaction.
Impact
If enacted, HB1051 will specifically affect the Insurance Code by amending Section 1455.004. The bill will ensure that healthcare providers are incentivized to offer telehealth options, potentially leading to greater accessibility for patients, especially those in rural or underserved areas. As telehealth services have grown in popularity, especially post-pandemic, this bill may play a crucial role in maintaining these services as a standard aspect of healthcare delivery.
Summary
House Bill 1051 aims to enhance health benefit plan coverage for telemedicine, teledentistry, and telehealth services by ensuring these services are treated the same as in-person visits. The bill stipulates that health benefit plans must provide equivalent coverage for telehealth services delivered via synchronous or asynchronous audio interaction, reflecting the increasing importance of remote healthcare in the modern health system. Furthermore, the bill prohibits health benefit plans from excluding coverage for telehealth services solely based on the format in which they are delivered.
Contention
Despite its positive implications for healthcare access, there may be discussions surrounding the operational challenges and potential costs associated with expanded telehealth coverage. Some stakeholders might argue about the ramifications for insurance plans, including concerns over increased premiums or fraud risk associated with less in-person oversight. There may also be resistance from traditional healthcare providers who fear competition from telehealth services or uncertainties regarding reimbursement structures.
Implementation
The provisions outlined in HB1051 will come into effect on September 1, 2025, specifically for health benefit plans delivered, issued, or renewed after that date. However, plans that were established prior to this date will remain under the existing laws, which may cause a gradual transition in the health insurance market as providers adapt to the new requirements.
Texas Constitutional Statutes Affected
Insurance Code
Chapter 1455. Telemedicine, Teledentistry, And Telehealth
Relating to health benefit plan coverage of telemedicine, teledentistry, and telehealth services provided by only synchronous or asynchronous audio interaction.
Relating to health benefit plan coverage of telemedicine, teledentistry, and telehealth appointments with an originating site or distant site located outside this state.
Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services.
Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services.
Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services.
Relating to rules regarding the provision by a health professional of a telemedicine medical service, teledentistry dental service, or telehealth service.
Relating to the provision of telehealth and telemedicine medical services by certain health professionals located outside of this state; requiring registration to engage in an occupation; authorizing fees.