Texas 2021 - 87th Regular

Texas House Bill HB980

Caption

Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services and telehealth services.

Impact

The implications of HB 980 are significant as it aims to enhance the accessibility and affordability of telehealth and telemedicine services in Texas. By standardizing reimbursement rates and reducing bureaucratic hurdles, the bill seeks to promote the wider adoption of telehealth, especially in underserved areas. This legislation could potentially lead to improved health outcomes by increasing patient access to healthcare professionals who can deliver services remotely, especially in light of the growing reliance on telehealth during and after the COVID-19 pandemic.

Summary

House Bill 980 focuses on the reimbursement and payment practices for telemedicine and telehealth services provided by health benefit plan issuers in Texas. It mandates that issuers reimburse health professionals for covered telemedicine services at least at the same rate and basis as they would for in-person services. Additionally, the bill prohibits health benefit plans from requiring more documentation for telemedicine services compared to in-person services, streamlining the reimbursement process and ensuring equity in payment for healthcare providers.

Sentiment

The sentiment surrounding HB 980 appears to be generally positive, with many stakeholders in healthcare advocating for enhanced telehealth services. Supporters argue that this bill is a critical step toward a more flexible and responsive healthcare system, allowing patients to receive necessary care without the constraints of physical appointments. However, there may be concerns from certain factions about the financial implications for health benefit plan issuers and the potential for inadequate reimbursement rates for certain services, which could impact healthcare providers' willingness to offer telehealth options.

Contention

Notable points of contention in discussions around HB 980 relate to the balance of interests between healthcare providers, telehealth service providers, and insurance companies. While there is advocacy for equitable reimbursement, some stakeholders are wary of the potential financial strain on insurance providers. Furthermore, questions about the quality and accountability of telehealth services could arise, emphasizing the need for clear guidelines on what constitutes appropriate telemedicine care.

Companion Bills

TX HB515

Same As Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services and telehealth services.

TX HB522

Same As Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services and telehealth services.

TX SB228

Same As Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services and telehealth services.

Previously Filed As

TX HB1726

Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services.

TX SB724

Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services.

TX SB1043

Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services.

TX HB1390

Relating to telemedicine medical services and telehealth services covered by certain health benefit plans or provided by a pharmacist.

TX HB4334

Relating to the provision and delivery of certain health, mental health, and educational services in this state, including the delivery of those services using telecommunications or information technology.

TX SB1359

Relating to reporting on the use of telemedicine medical services and telehealth services among participating providers of certain managed care plans.

TX SB2527

Relating to the regulation of telemedicine medical services, teledentistry services, and telehealth services; providing a civil penalty.

TX HB592

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.

TX HB617

Relating to a pilot project to provide emergency telemedicine medical services and telehealth services in rural areas.

TX SB251

Relating to a pilot project to provide emergency telemedicine medical services and telehealth services in rural areas.

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