Texas House Bill HB1722

Texas 2021 - 87th Regular

Caption

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

Impact

The implications of HB 1722 are significant for health benefit plans, as it mandates equal coverage and reimbursement rates for telemedicine services compared to in-person visits. This could potentially remove barriers to care for many individuals, especially those in rural or underserved areas, by ensuring they receive equivalent insurance coverage regardless of the medium of service delivery. Additionally, healthcare providers may experience increased demand for telehealth services, reflecting a more adaptable healthcare system.

Summary

House Bill 1722 aims to amend the Insurance Code regarding the reimbursement and payment of claims for telemedicine and telehealth services. This bill requires health benefit plans to provide coverage for telemedicine services conducted via audio-only telephone consultations, a change from previous stipulations that excluded such services from mandatory coverage. By defining telehealth services more inclusively, the bill seeks to enhance access to healthcare, particularly for those lacking access to in-person medical services.

Contention

Notable points of contention surrounding HB 1722 include concerns from some stakeholders about the possible financial repercussions on health benefit plans and providers. Critics argue that imposing mandatory coverage for audio-only telehealth consultations could lead to increased costs for insurers, which may be passed down to consumers or result in restricted services as providers adjust to these regulatory changes. Another area of debate is the quality of care provided via less interactive formats, raising questions about patient outcomes and the efficacy of telehealth as a substitute for direct patient-provider interactions.