| Old | New | Differences | |
|---|---|---|---|
| 1 | 1 | 85R11480 PMO-F | |
| 2 | 2 | By: Oliverson H.B. No. 2558 | |
| 3 | 3 | ||
| 4 | 4 | ||
| 5 | 5 | A BILL TO BE ENTITLED | |
| 6 | 6 | AN ACT | |
| 7 | 7 | relating to capitation payments under a contract with a health | |
| 8 | 8 | maintenance organization for the provision of dental care services. | |
| 9 | 9 | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | |
| 10 | 10 | SECTION 1. Section 843.3115, Insurance Code, is amended by | |
| 11 | 11 | adding Subsection (c) to read as follows: | |
| 12 | 12 | (c) If a contract between a health maintenance organization | |
| 13 | 13 | and a dentist or an entity that provides dental care services uses | |
| 14 | 14 | capitation as a method of compensation, the contract must provide | |
| 15 | 15 | that the health maintenance organization pay the capitated amount | |
| 16 | 16 | for an enrollee to an individual dentist licensed under Chapter | |
| 17 | 17 | 256, Occupations Code, that is selected by or assigned to the | |
| 18 | 18 | enrollee as the enrollee's primary care dentist. | |
| 19 | 19 | SECTION 2. Section 843.3115(c), Insurance Code, as added by | |
| 20 | 20 | this Act, applies only to a contract between a health maintenance | |
| 21 | 21 | organization and a dentist or entity that provides dental care | |
| 22 | 22 | services entered into on or after the effective date of this Act. A | |
| 23 | 23 | contract entered into before the effective date of this Act is | |
| 24 | 24 | governed by the law as it existed immediately before the effective | |
| 25 | 25 | date of this Act, and that law is continued in effect for that | |
| 26 | 26 | purpose. | |
| 27 | 27 | SECTION 3. This Act takes effect September 1, 2017. |