85R24846 LED-D
By: Muñoz, Jr. H.B. No. 2942
Substitute the following for H.B. No. 2942:
By: Phillips C.S.H.B. No. 2942
A BILL TO BE ENTITLED
AN ACT
relating to network adequacy standards adopted by the commissioner
of insurance for preferred provider benefit plans.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 1301.0055, Insurance Code, is amended to
read as follows:
Sec. 1301.0055. NETWORK ADEQUACY STANDARDS. The
commissioner shall by rule adopt network adequacy standards that:
(1) are adapted to local markets in which an insurer
offering a preferred provider benefit plan operates;
(2) ensure availability of, and accessibility to, a
full range of contracted physicians and health care providers to
provide health care services to insureds; [and]
(3) on good cause shown, may allow departure from
local market network adequacy standards if the commissioner posts
on the department's Internet website the name of the preferred
provider plan, the insurer offering the plan, and the affected
local market; and
(4) hold insurers accountable for the networks the
insurers utilize and for any departure from network adequacy
standards.
SECTION 2. This Act takes effect September 1, 2017.