88R2049 SCL-D
By: Schwertner S.B. No. 1359
A BILL TO BE ENTITLED
AN ACT
relating to reporting on the use of telemedicine medical services
and telehealth services among participating providers of certain
managed care plans.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subtitle C, Title 8, Insurance Code, is amended
by adding Chapter 1276 to read as follows:
CHAPTER 1276. REPORTING REQUIREMENTS
SUBCHAPTER A. GENERAL PROVISIONS
Sec. 1276.001. DEFINITIONS. In this chapter:
(1) "Participating provider" means a physician or
health care provider who contracts with a health benefit plan
issuer or administrator to provide medical care or health care to
enrollees in a health benefit plan.
(2) "Telehealth service" and "telemedicine medical
service" have the meanings assigned by Section 111.001, Occupations
Code.
Sec. 1276.002. APPLICABILITY OF CHAPTER. This chapter
applies only to:
(1) a health benefit plan offered by a health
maintenance organization operating under Chapter 843;
(2) a preferred provider benefit plan, including an
exclusive provider benefit plan, offered by an insurer under
Chapter 1301; and
(3) an administrator of a health benefit plan offered
under Chapter 1551, 1575, or 1579.
Sec. 1276.003. RULES. The commissioner may adopt rules
necessary to implement this chapter.
SUBCHAPTER B. NETWORK ADEQUACY REPORTING
Sec. 1276.051. ANNUAL REPORT ON USE OF TELEMEDICINE MEDICAL
AND TELEHEALTH SERVICES FOR NETWORK. A health benefit plan issuer
or administrator shall submit an annual report to the department in
the form and manner prescribed by commissioner rule on whether each
participating provider for a health benefit plan issued or
administered by the issuer or administrator provides services
primarily:
(1) in person in the area in which the plan's enrollees
reside; or
(2) through the use of telemedicine medical services
or telehealth services.
SECTION 2. This Act takes effect September 1, 2023.