Texas 2023 - 88th Regular

Texas House Bill HB5186

Filed
3/10/23  
Out of Senate Committee
 
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to the establishment of the state health benefit plan reimbursement review board and the reimbursement for health care services or supplies provided under certain state-funded health benefit plans.

Impact

The bill's impact lies in its efforts to standardize and regulate the reimbursement process for healthcare services provided under state health benefit plans. By establishing clear protocols for reimbursement, it aims to ensure that facilities receive consistent payments for services rendered to enrollees, thereby preventing financial discrepancies that could arise from varying billing practices across facilities. The requirement for facilities to consider the reimbursement as full payment is particularly significant, as it prevents additional out-of-pocket costs for enrollees beyond copayments, coinsurance, or deductibles specified in their health plans.

Summary

House Bill 5186, introduced by Representative Bonnen, establishes the state health benefit plan reimbursement review board. This board's primary objective is to manage and control present and future cost growth for state-funded health benefit plans while ensuring that enrollees continue to have access to high-quality healthcare services and supplies. The bill specifies the formation of a board comprising key legislative leaders, including the lieutenant governor and the speaker of the house, and outlines the framework for conducting meetings and reaching decisions about reimbursement structures.

Sentiment

Overall, the sentiment surrounding HB 5186 appears to be generally supportive, particularly among legislators concerned with health care affordability and accessibility for public employees. Supporters argue that this bill provides a necessary mechanism to control rising healthcare costs while safeguarding enrollees' access to essential services. However, some concerns may arise regarding how universally the reimbursement standards can be applied across a diverse array of healthcare providers and services.

Contention

Notable points of contention may arise regarding the board's authority and its impact on local healthcare providers. Some stakeholders might argue that a one-size-fits-all reimbursement structure may not adequately address the nuanced needs of different healthcare facilities, particularly those in underserved areas. The bill also raises questions about how effectively it can maintain quality of care while controlling costs—which is a delicate balance in healthcare policy.

Texas Constitutional Statutes Affected

Insurance Code

  • Chapter 1551. Texas Employees Group Benefits Act
    • Section: New Section
  • Chapter 1575. Texas Public School Employees Group Benefits Program
    • Section: New Section
  • Chapter 1579. Texas School Employees Uniform Group Health Coverage
    • Section: New Section
  • Chapter 1601. Uniform Insurance Benefits Act For Employees Of The University Of Texas System And The Texas A&m University System
    • Section: New Section

Companion Bills

TX SB2502

Identical Relating to certain limitations on reimbursements paid for inpatient and outpatient hospital services for certain publicly funded health benefit plan coverage for employees and retirees.

Previously Filed As

TX SB2502

Relating to certain limitations on reimbursements paid for inpatient and outpatient hospital services for certain publicly funded health benefit plan coverage for employees and retirees.

TX HB3459

Relating to pricing for health care services and supplies and reimbursement for those services or supplies under certain health benefit plans; imposing penalties.

TX SB01048

An Act Concerning Reimbursements For Certain Covered Health Benefits.

TX HB1298

To Modify Payment Of Benefits For Certain Healthcare Providers Under A Health Benefit Plan.

TX A963

Sets level for healthcare benefits; requires employee contributions; prohibits reimbursement of Medicare Part B; adds member to SHBP/SEHBP plan design committees; requires retirees to purchase health benefits through exchanges; provides subsidies for out-of-pocket costs.

TX HB4391

Relating to certain group and individual health benefit plans and the provision of health care benefits under health care plans through provider networks.

TX A240

Sets level for health care benefits; requires employee contributions; prohibits reimbursement of Medicare Part B; adds member to SHBP/SEHBP plan design committees; requires retirees to purchase health benefits through exchanges; provides subsides for out-of-pocket costs.

TX HB07184

An Act Concerning Reimbursement For Health Care And Clinical Services Provided At State Expense And Establishing A Task Force To Maximize Reimbursements For Covered Benefits And Services Provided By State Agencies.

TX AB685

Health care service plans: reimbursement.

TX HB1722

Relating to the reimbursement and payment of claims for telemedicine medical services and telehealth services under certain health benefit plans.

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