Texas Senate Bill SB365

Texas 2013 - 83rd Regular

Caption

Relating to expedited credentialing for certain podiatrists and therapeutic optometrists providing services under a managed care plan.

Impact

The bill modifies the existing provisions within Chapter 1452 of the Insurance Code by creating specific subchapters that address the credentialing processes for podiatrists and therapeutic optometrists. Importantly, it dictates eligibility criteria, which consist of being properly licensed and in good standing. Moreover, these professionals must comply with the existing contract terms associated with their professional practices. The new rules allow for reimbursement during the credentialing phase, which can mitigate financial barriers for providers in the meantime.

Summary

SB365 aims to establish an expedited credentialing process for podiatrists and therapeutic optometrists who provide services under managed care plans in Texas. By streamlining the credentialing process for these healthcare providers, the bill is designed to enhance access to care for patients enrolled in managed care systems. This legislative move particularly benefits newly entering podiatrists and optometrists who can more quickly join established professional practices that already hold contracts with managed care plans.

Contention

Despite its intended benefits, there are potential contentions surrounding SB365. Critics may argue that an expedited process could compromise the thoroughness of credentialing, possibly impacting the quality of care. There are concerns that rushing the credentialing process might lead to inadequately vetted providers being allowed to practice under managed care plans, which could have broader implications for patient safety and care standards. Proponents of the bill, however, advocate that the existing standards of care are maintained and that the revision will simply facilitate better access to necessary services without reducing quality.