Texas 2019 - 86th Regular

Texas Senate Bill SB1052

Caption

Relating to prohibited practices by an insurer that issues a preferred provider benefit plan regarding communication of the preferred provider status of freestanding emergency medical care facilities.

Impact

The implementation of SB1052 is anticipated to impact the insurance and healthcare sectors by ensuring that freestanding emergency medical care facilities can openly communicate their status as preferred providers. This change could lead to a more competitive environment where consumers are better informed about their healthcare options, especially in emergency situations. By empowering these facilities to advertise their preferred provider status, the bill seeks to facilitate greater patient access to necessary care.

Summary

SB1052 addresses practices by insurers that issue preferred provider benefit plans with regard to the communication of the preferred provider status of freestanding emergency medical care facilities. The bill specifically prohibits insurers from hindering these medical facilities from informing the public that they are included in the insurer's preferred provider network. This legislation aims to enhance transparency and allow patients to make informed decisions regarding their emergency health care options.

Contention

While the bill aims to improve communication and transparency, it may encounter opposition from insurers concerned about the potential for increased competition affecting their market share. Critics might argue that the unrestricted communication could lead to misunderstandings or misrepresentations of the services offered by freestanding emergency medical care facilities. Nonetheless, proponents of the bill see it as a necessary step to combat deceptive practices within the insurance industry and ensure that patients have access to clear information regarding their healthcare choices.

Companion Bills

No companion bills found.

Previously Filed As

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 HB3915

Relating to services provided by freestanding emergency medical care facilities.

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.

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 HB4500

Relating to electronic verification of health benefits by health benefit plan issuers for certain physicians and health care providers.

TX SB863

Relating to electronic verification of health benefits by health benefit plan issuers for certain physicians and health care providers.

Similar Bills

No similar bills found.