Texas House Bill HB2960

Texas 2021 - 87th Regular

Caption

Relating to the relationship between managed care plans and optometrists, therapeutic optometrists, and ophthalmologists.

Impact

This legislation restricts managed care plans from implementing practices that could hinder optometrists and ophthalmologists from participating in their networks. By curbing discriminatory practices, the bill empowers these practitioners to compete fairly, which could subsequently lead to improved service delivery and patient outcomes in the eye care sector. Additionally, it addresses issues related to compensation, ensuring that optometrists and therapeutic optometrists are not subjected to unfavorable fee schedules based on the choice of their service suppliers.

Summary

House Bill 2960 introduces significant amendments to the Insurance Code concerning the relationship between managed care plans and various eye care professionals, including optometrists, therapeutic optometrists, and ophthalmologists. The intent of the bill is to ensure fair treatment of these practitioners within managed care systems, prohibiting any discrimination based on their professional designation. It aims to enhance patient access to eye care services by maintaining a broader range of options for consumers when it comes to receiving care from vision specialists.

Contention

While the bill seeks to protect eye care professionals, it may also spark debates regarding the balance between managed care oversight and the autonomy of health care providers. Opponents may argue that such regulations could impact the financial viability of managed care organizations, leading to unintended consequences in the overall healthcare marketplace. Conversely, advocates emphasize the necessity of clear regulations to prevent managed care entities from imposing restrictive conditions that may limit practitioner participation or access to care for patients.