Relating to the duties and powers of the office of public insurance counsel concerning the adequacy of networks offered in this state by managed care plans.
Impact
The proposed changes in HB 3085 are poised to significantly impact state laws related to insurance, particularly those governing managed care. By allowing OPIC to file complaints and submit comments regarding network adequacy, the bill strengthens consumer advocacy within the insurance framework. It sets a standard for evaluating managed care plans, which could lead to more rigorous scrutiny of these plans' operations and practices. The introduction of annual consumer report cards is another key aspect, designed to provide Texans with comparative insights into managed care options, ultimately aiding them in making informed decisions about their healthcare coverage.
Summary
House Bill 3085 is legislation aimed at bolstering the authority and responsibilities of the Office of Public Insurance Counsel (OPIC) in Texas, particularly regarding managed care plans. The bill seeks to enhance the office's ability to monitor the adequacy of networks provided by these plans, ensuring that insurance consumers receive fair treatment and access to necessary healthcare services. This legislation aims to formalize the role of OPIC in assessing how well managed care plans are meeting the needs of consumers, thereby promoting increased transparency and accountability in the insurance marketplace.
Contention
While the bill is intended to enhance consumer protections, it is likely to raise concerns among managed care providers about increased regulatory scrutiny and potential liabilities. Supporters argue that improved oversight is necessary for protecting consumers from inadequate coverage and poor service. However, opponents may contend that the bill could impose undue burdens on managed care plans, limiting their flexibility to operate and innovate. The balance between consumer protections and provider operational flexibility will thus be a point of contention as discussions surrounding HB 3085 progress.
Identical
Relating to the duties and powers of the office of public insurance counsel concerning the adequacy of networks offered in this state by managed care plans.
Relating to the transfer of functions relating to the economic regulation of water and sewer service from the Public Utility Commission of Texas and the Office of Public Utility Counsel to the Water Public Utility Commission and the Office of Water Public Utility Counsel; creating a criminal offense.
Relating to the continuation and functions of the Public Utility Commission of Texas and the Office of Public Utility Counsel, and the functions of the independent organization certified for the ERCOT power region; increasing an administrative penalty.
Relating to the powers and duties of the Health and Human Services Commission and the transfer to the commission of certain powers and duties from the Department of Family and Protective Services.
Relating to the powers and duties of the Health and Human Services Commission and the transfer to the commission of certain powers and duties from the Department of Family and Protective Services.
Relating to the transfer and statutory novation of insurance policies from a transferring insurer to an assuming insurer through an insurance business transfer plan; authorizing fees.
Relating to the fiduciary responsibility of the governing body of the public retirement systems in this state and the investment managers and proxy advisors acting on behalf of those systems.