Texas Senate Bill SB2252

Texas 2019 - 86th Regular

Caption

Relating to the examination by the commissioner of insurance of certain insurers' network quality and adequacy.

Impact

By enhancing the examination schedule and making it mandatory for the commissioner to review insurer networks at least every two years, SB2252 aims to improve the quality of care provided to individuals covered under these health plans. The bill also ensures that documentation reviewed during these examinations remains confidential, protecting sensitive information from public disclosure.

Summary

SB2252 relates to the examination by the Texas commissioner of insurance regarding the quality and adequacy of certain insurers' network plans. The bill amends existing provisions in the Insurance Code to require the commissioner to conduct examinations of insurers offering preferred provider benefit plans and exclusive provider benefit plans. These examinations will now occur at the discretion of the commissioner, but at least once every two years, ensuring that insurers maintain adequate and quality networks for policyholders.

Contention

Potential points of contention surrounding SB2252 may include the degree of oversight and regulation imposed on insurers by the state. Proponents argue that increased scrutiny is necessary to ensure that insurers provide high-quality care and maintain adequate networks, particularly in light of varying accessibility in healthcare services across Texas. On the other hand, some opponents may view this as an unnecessary regulatory burden that could stifle innovation and impose additional costs on insurers, which could, in turn, be passed on to consumers.