Texas 2015 - 84th Regular

Texas House Bill HB1667

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

Caption

Relating to the designation of certain physicians as preferred providers.

Impact

By enacting HB1667, the Texas legislature seeks to streamline the process by which physicians become established as preferred providers. The modification is expected to positively impact both physicians and patients by lowering barriers to provider designation, which could ultimately lead to improved healthcare access. It reinforces the idea that patients should have a more extensive choice of healthcare providers, ideally fostering competition that can enhance service quality and availability.

Summary

House Bill 1667 focuses on the designation of certain physicians as preferred providers within health insurance networks. The bill modifies existing provisions in the Texas Insurance Code to ensure that insurers cannot withhold preferred provider status from physicians who meet certain criteria. Notably, a physician can achieve this designation if they join a contracted preferred provider's practice, apply for designation, and adhere to the associated eligibility requirements. This provision aims to enhance the accessibility of healthcare providers for patients by promoting a wider range of physician options within insurance networks.

Contention

Although specific points of contention around HB1667 were not documented, the implications of designating preferred providers could raise debates among insurers, healthcare providers, and patients alike. Potential concerns might arise regarding the balance of power between insurers and healthcare providers, especially in how designation criteria could be interpreted and enforced. Additionally, discussions might center around the duty of insurers to ensure a sufficiently diverse network of providers while maintaining cost-effectiveness.

Companion Bills

No companion bills found.

Previously Filed As

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 HB3195

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

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 HB3848

Relating to health maintenance organization and preferred provider benefit plan minimum access standards for nonemergency ambulance transport services delivered by emergency medical services providers; providing administrative penalties.

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 HB3985

Relating to an insurer's obligation under a preferred provider benefit plan for continuity of care for certain Medicaid recipients.

TX SB1666

Relating to an insurer's obligation under a preferred provider benefit plan for continuity of care for certain Medicaid recipients.

TX HB2002

Relating to preferred provider benefit plan out-of-pocket expense credits for payments made by an insured directly to a physician or health care provider.

Similar Bills

No similar bills found.