Texas 2025 - 89th Regular

Texas House Bill HB3695 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	89R239 CJD-D
2	2	By: Orr H.B. No. 3695
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7	7	A BILL TO BE ENTITLED
8	8	AN ACT
9	9	relating to copayments required by a health maintenance
10	10	organization or preferred provider benefit plan for visiting
11	11	physical therapists.
12	12	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
13	13	SECTION 1. Subchapter F, Chapter 843, Insurance Code, is
14	14	amended by adding Section 843.212 to read as follows:
15	15	Sec. 843.212. PHYSICAL THERAPIST COPAYMENT LIMIT. A health
16	16	care plan that requires an enrollee to pay a copayment for an office
17	17	visit with the enrollee's primary care physician or provider may
18	18	not charge a higher copayment amount to that enrollee for an office
19	19	visit with a physical therapist if that visit did not require a
20	20	referral from a physician or provider.
21	21	SECTION 2. Subchapter D, Chapter 1301, Insurance Code, is
22	22	amended by adding Section 1301.167 to read as follows:
23	23	Sec. 1301.167. PHYSICAL THERAPIST COPAYMENT LIMIT. A
24	24	preferred provider benefit plan that requires an insured to pay a
25	25	copayment for an office visit with the insured's primary care
26	26	physician or provider may not charge a higher copayment amount to
27	27	that insured for an office visit with a physical therapist if that
28	28	visit did not require a referral from a physician or health care
29	29	provider.
30	30	SECTION 3. The changes in law made by this Act apply only to
31	31	a health benefit plan delivered, issued for delivery, or renewed on
32	32	or after January 1, 2026.
33	33	SECTION 4. This Act takes effect September 1, 2025.