83R10274 PMO-F
By: Guerra H.B. No. 2530
A BILL TO BE ENTITLED
AN ACT
relating to certain fees charged for adjudication of claims under
health benefit plans.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 1213.005, Insurance Code, is amended to
read as follows:
Sec. 1213.005. CERTAIN CHARGES PROHIBITED. A health
benefit plan or a third-party administrator or pharmacy benefit
manager acting on behalf of the health benefit plan may not directly
or indirectly charge or hold a health care professional, health
care facility, or person enrolled in a health benefit plan
responsible for a fee for the adjudication of a claim.
SECTION 2. This Act applies only to a claim submitted on or
after September 1, 2013. A claim submitted before September 1,
2013, is governed by the law as it existed immediately before that
date, and that law is continued in effect for that purpose.
SECTION 3. This Act takes effect September 1, 2013.