Texas House Bill HB2782

Texas 2013 - 83rd Regular

Caption

Relating to the authority of the commissioner of insurance to disapprove rate changes for certain health benefit plans.

Impact

The enactment of HB2782 is expected to significantly influence how health benefit plan issuers set their rates in Texas. By providing the commissioner with the authority to review and disapprove certain rates, the legislation aims to foster a more transparent and consumer-friendly insurance market. It could potentially lead to lower premiums for consumers since the commissioner can intervene in situations where rates are deemed excessive or unfair. Moreover, the legislation seeks to maintain the financial solvency of insurance companies by ensuring that rates are adequate to cover losses and expenses without risking the issuer's viability.

Summary

House Bill 2782 establishes new authority for the commissioner of insurance in Texas regarding the regulation of health benefit plan rates. Specifically, it allows the commissioner to disapprove rate changes that are found to be excessive, inadequate, or unfairly discriminatory. This legislation is part of efforts to enhance consumer protection by ensuring that health insurance rates remain fair and sustainable. The bill highlights the importance of sound actuarial principles and other criteria for determining the appropriateness of insurance rates, thereby aiming to ensure the financial stability of health benefit plans and prevent disruptive pricing practices.

Contention

Despite its consumer-friendly intentions, HB2782 may face opposition from health benefit plan issuers who could view the new regulatory authority as overly burdensome. Critics might express concerns that the additional scrutiny and potential for disapproval could discourage insurers from offering competitive rates, inhibiting market dynamics. Additionally, the bill sets forth detailed criteria for the commissioner to consider when evaluating rate changes, which some may argue could lead to delays and administrative challenges. There's a possibility of tension between the goals of protecting consumers and maintaining a vibrant insurance marketplace.