Texas 2013 - 83rd Regular

Texas Senate Bill SB1746

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

Caption

Relating to payment of out-of-network ambulatory surgery benefits by certain health benefit plans.

Impact

The introduction of SB1746 is expected to have a significant impact on state laws surrounding health insurance, particularly for patients utilizing out-of-network providers. By requiring managed care plans to adopt the 'usual and customary charge' for out-of-network facility fees, the bill could reduce financial burdens on patients who inadvertently use facilities outside their network. As such, this may foster a more equitable health care landscape in Texas, ensuring that patients are not penalized for exercising their choice of health care facilities or specialists.

Summary

SB1746 relates to the payment of out-of-network ambulatory surgery benefits by certain health benefit plans. The bill aims to amend the Texas Insurance Code by establishing a framework for how managed care plans compensate for ambulatory surgeries performed by out-of-network providers. Specifically, it mandates that managed care plans must calculate payments based on the 'usual and customary charge' for such services, which is defined as the fair market value for facility fees in the geographical area where the procedure is performed. This is intended to protect patients from unexpected high costs when using out-of-network surgical centers and enhance fairness in out-of-network pricing practices.

Sentiment

The sentiment around SB1746 appears to be generally supportive among patient advocacy groups who argue that clearer guidelines for payments will aid in preventing surprise billing for out-of-network surgeries. However, concerns have been raised by some insurance providers regarding potential increases in costs. Overall, the bill has sparked a dialogue about the balance between ensuring patient access to necessary medical procedures without undue financial stress and maintaining sustainable business practices for health insurers.

Contention

Notable points of contention regarding SB1746 include debates over the specific definitions and calculations involved in determining 'usual and customary charges.' Some stakeholders worry about the implications of these definitions on insurance premiums and overall healthcare costs. Additionally, there were varying opinions on the ability of the bill to address the broader issue of surprise medical billing, with critics cautioning that the real effectiveness of the bill could depend on further regulatory actions post-enactment.

Companion Bills

TX HB1901

Identical Relating to payment of out-of-network ambulatory surgery benefits by certain health benefit plans.

Previously Filed As

TX HB3359

Relating to network adequacy standards and other requirements for preferred provider benefit plans.

TX SB1765

Relating to network adequacy standards and other requirements for preferred provider benefit plans.

TX SB861

Relating to coordination of vision and eye care benefits under certain health benefit plans and vision benefit plans.

TX HB1322

Relating to coordination of vision and eye care benefits under certain health benefit plans and vision benefit plans.

TX HB1364

Relating to a direct payment to a health care provider in lieu of a claim for benefits under a health benefit plan.

TX SB583

Relating to a direct payment to a health care provider in lieu of a claim for benefits under a health benefit plan.

TX HB1128

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

TX HB4912

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

TX HB826

Relating to modification of certain prescription drug benefits and coverage offered by certain health benefit plans.

TX SB1221

Relating to modification of certain prescription drug benefits and coverage offered by certain health benefit plans.

Similar Bills

CA AB370

Ambulatory surgical centers.

CA AB3083

Ambulatory surgical centers.

LA SB495

Provides for a public benefit assessment by the Department of Health and Hospitals. (8/1/14)

CT SB01131

An Act Concerning The Ambulatory Surgical Centers Tax.

LA HB512

Provides relative to reimbursement for implants (EG NO IMPACT GF EX See Note)

MS SB2735

Pilot freestanding emergency room; require the Department of Health to issue not more than five licenses.

MS HB1110

Freestanding emergency room; revise definition to include rural emergency hospital and specify other criteria.

LA HB251

Requires provision of cost estimates to patients for procedures at hospitals and ambulatory surgical centers (EG NO IMPACT See Note)