Texas 2009 - 81st Regular

Texas Senate Bill SB556

Voted on by Senate
 
Out of House Committee
 
Voted on by House
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to requirements for certain contracts with physicians and health care providers.

Impact

The bill introduces substantial amendments to the Insurance Code, specifically by establishing Chapter 1459, which details contractual obligations between health care contractors and providers. One of its primary impacts is the requirement for health care contractors to notify providers about material changes to contracts, thus ensuring providers can make informed decisions regarding their contractual commitments. Such changes must be communicated well in advance, allowing physicians the opportunity to object before any alterations take effect, enhancing their legal protections under the contract.

Summary

SB556 aims to establish specific requirements for contracts between health care contractors and health care providers and physicians. By enforcing transparency in such contracts, the bill seeks to enhance the negotiation power of practitioners and ensure they are appropriately informed about the terms, compensation, and payment structures before signing agreements. This level of transparency is expected to ultimately lead to fairer practices in the health care sector, addressing the often-unequal power dynamics in contracting arrangements between providers and insurers.

Conclusion

The passage of SB556 represents a critical step toward modernizing health care contracts in Texas, aiming to provide a more protective and transparent framework for physicians and health care providers. By ensuring informed consent and fostering equitable deals, the bill seeks to improve the working conditions for medical professionals and the overarching quality of health care delivery.

Contention

Notably, some points of contention regarding SB556 stem from concerns about the additional administrative burdens it might impose on health care contractors. Critics argue that the extensive disclosure and notification requirements may complicate the contracting process and lead to potential delays in care delivery or increased operational costs. However, supporters contend that these measures ensure providers retain control over their services and maintain ethical standards in treatment agreements, ultimately benefiting patient care.

Companion Bills

No companion bills found.

Previously Filed As

TX HB4500

Relating to electronic verification of health benefits by health benefit plan issuers for certain physicians and health care providers.

TX SB863

Relating to electronic verification of health benefits by health benefit plan issuers for certain physicians and health care providers.

TX HB4343

Relating to health benefit plan preauthorization requirements for certain health care services and the direction of utilization review by physicians.

TX HB1073

Relating to certain health care services contract arrangements entered into by insurers and health care providers.

TX HB5113

Relating to utilization review requirements for a health care service provided by a network physician or provider.

TX HB3195

Relating to conduct of insurers providing preferred provider benefit plans with respect to physician and health care provider contracts and claims.

TX HB2414

Relating to certain practices of a health maintenance organization or insurer to encourage the use of certain physicians and health care providers.

TX HB4773

Relating to unconditional designation of physicians as participating providers in a managed care plan

TX SB2442

Relating to unconditional designation of physicians as participating providers in a managed care plan

TX HB1128

Relating to availability of and benefits provided under health benefit plan coverage.

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