TX
Texas House Bill HB2002

Texas 2023 - 88th Regular

Texas House Bill HB2002

Filed
2/7/23  
Out of House Committee
4/25/23  
Voted on by House
5/4/23  
Out of Senate Committee
5/18/23  
Voted on by Senate
5/19/23  
Governor Action
6/9/23  

Caption

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.

Impact

The bill is expected to enhance consumers’ ability to shop for healthcare services by ensuring they receive proper credit for direct payments made to healthcare providers. By facilitating out-of-pocket expense credits, HB2002 could contribute to reduced overall medical costs for consumers, allowing for more cost-effective healthcare transactions. These reforms might lead to a more competitive healthcare market, likely benefitting both consumers and providers who offer lower rates.

Summary

House Bill 2002 aims to amend the Texas Insurance Code by allowing individuals with preferred provider benefit plans to receive out-of-pocket expense credits for direct payments made to physicians or healthcare providers. This initiative is designed to encourage insured individuals to seek better pricing for medical services by rewarding those who negotiate lower rates than what their insurance company would typically cover. The bill mandates insurers to establish a procedure for claiming these credits and ensure that documentation is easily accessible online.

Sentiment

The sentiment surrounding HB2002 appears to be predominantly positive, particularly among insurance professionals and proponents of free-market healthcare solutions. Supporters argue that this bill incentivizes consumer empowerment in healthcare spending and promotes more competitive pricing models in the health industry. However, there is potential for contention regarding how well such credits will be implemented and whether they effectively translate into significant savings for consumers.

Contention

Notable points of contention may revolve around the logistics of implementing the new credit system and how insurers will manage these out-of-pocket expense credits. Concerns could arise regarding the adequacy of verification processes for lower-priced services. Additionally, while the bill promotes consumer choice, some critics might question the overall efficacy in improving healthcare access and affordability, as some consumers may still face barriers in navigating the healthcare system to find better prices.

Texas Constitutional Statutes Affected

Insurance Code

  • Chapter 1301. Preferred Provider Benefit Plans
    • Section: 140
    • Section: 140
    • Section: 140
    • Section: 140
    • Section: 140

Companion Bills

No companion bills found.

Previously Filed As

TX HB3414

Relating to preferred provider benefit plan out-of-pocket expense credits for payments made by an insured directly to a physician providing direct primary care.

TX HB3546

Relating to out-of-pocket expense credits for payments made by a policyholder directly to a physician or health care provider.

TX HB1687

Relating to out-of-pocket expense credits for payments made directly to a physician or health care provider by an enrollee of a governmental employee health benefit plan.

TX SB884

Relating to establishment of a shared savings program for health maintenance organizations and preferred provider benefit plans.

TX HB3195

Relating to conduct of insurers providing preferred provider benefit plans with respect to physician and health care provider contracts and claims.

TX HB2929

Relating to conduct of insurers providing preferred provider benefit plans with respect to physician and health care provider contracts and claims.

TX HB1691

Relating to prompt payment of certain physicians and health care providers by a preferred provider benefit plan.

TX HB3814

Relating to payment standards for preferred provider benefit plans to reduce balance billing of insureds for out-of-network health care services.

TX HB3753

Relating to payment standards for preferred provider benefit plans to reduce balance billing of insureds for out-of-network health care services.

TX HB3484

Relating to conduct of insurers providing preferred provider benefit plans with respect to physician and health care provider contracts and claims.

Similar Bills

No similar bills found.