Texas 2025 - 89th Regular

Texas House Bill HB3211

Filed
2/24/25  
Out of Senate Committee
 
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to the participation of optometrists and therapeutic optometrists in managed care plans providing vision benefits.

Impact

The implementation of HB 3211 is expected to enhance accessibility in vision care by facilitating the integration of optometrists into managed care networks. This measure prohibits discrimination against optometrists based on their professional designation, thereby allowing for a broader selection of vision care providers for patients. Additionally, the bill mandates transparency in the credentialing process for optometrists, which is intended to streamline their inclusion as participating providers within managed care plans. This will likely have positive implications for patient access to eye care services.

Summary

House Bill 3211 focuses on the participation of optometrists and therapeutic optometrists in managed care plans that provide vision benefits. It seeks to ensure that these practitioners are not discriminated against, excluded from participation, or subjected to unfair treatment by managed care plans. The bill amends various sections of the Insurance Code to set clear standards that managed care plans must follow, which expands access for both practitioners and patients in the realm of eye care services.

Sentiment

The sentiment around HB 3211 appears to be largely positive among proponents, particularly those advocating for enhanced patient access to qualified vision care providers. Supporters emphasize that removing barriers for optometrists in managed care plans will improve patient outcomes and satisfaction. However, there may be some contention regarding the implications for existing healthcare provider networks, as some stakeholders may be concerned about changes to operational dynamics within these plans.

Contention

Notable points of contention may arise from the adjustments in the operational protocols of managed care plans, particularly how they manage the participation of various healthcare providers. While enhancing the role of optometrists in managed care could improve accessibility, there may be concerns about the implications for reimbursement models and how traditional practitioners (like ophthalmologists) respond to these changes. The bill reflects an evolving landscape in healthcare where integrative care models are favored, yet it poses challenges that must be navigated to ensure all parties' interests are balanced.

Texas Constitutional Statutes Affected

Insurance Code

  • Chapter 1451. Access To Certain Practitioners And Facilities
    • Section: New Section
    • Section: 153
    • Section: New Section
    • Section: 155
    • Section: 157
    • Section: 153
    • Section: New Section
    • Section: 155
    • Section: 157

Companion Bills

TX SB2573

Identical Relating to the participation of optometrists and therapeutic optometrists in managed care plans providing vision benefits.

Similar Bills

TX HB1696

Relating to the relationship between managed care plans and optometrists and therapeutic optometrists.

TX SB860

Relating to the relationship between managed care plans and optometrists, therapeutic optometrists, and ophthalmologists.

TX HB2960

Relating to the relationship between managed care plans and optometrists, therapeutic optometrists, and ophthalmologists.

TX SB1242

Relating to certain provisions applicable to an optometrist, therapeutic optometrist, or ophthalmologist providing services under a managed care plan.

TX HB2299

Relating to certain provisions applicable to an optometrist, therapeutic optometrist, or ophthalmologist providing services under a managed care plan.

TX HB1864

Relating to a prohibition on the coercion of therapeutic optometrists and ophthalmologists by managed care plans.

TX HB2359

Relating to health care compensation under certain health benefit or managed care plans.

TX HB4377

Relating to the relationship between managed care plans and optometrists, therapeutic optometrists, and ophthalmologists.