Texas House Bill HB541

Texas 2025 - 89th Regular

• Filed: 11/12/24
• Out of House Committee: 4/30/25
• Voted on by House: 5/8/25
• Out of Senate Committee: 5/26/25
• Voted on by Senate: 5/28/25
• Governor Action: 6/20/25

Caption

Relating to the provision of direct patient care by physicians and health care practitioners.

Impact

The bill's enactment is poised to significantly impact how healthcare services are provided in Texas. By allowing practitioners to enter into direct patient care agreements without the constraints of insurance regulation, it encourages a model where patients pay directly for services. This could streamline access to care and reduce administrative overhead for physicians. The law aims to enhance transparency, requiring that patients are informed that these agreements are not traditional insurance plans. Such changes could facilitate a more straightforward healthcare system, especially for those looking for basic medical services.

Summary

House Bill 541, relating to the provision of direct patient care by physicians and health care practitioners, aims to clarify the legal framework surrounding direct patient care agreements. The bill establishes that such agreements between physicians and patients do not constitute health insurance nor do they require regulation by the Texas Department of Insurance. This means that healthcare providers can offer direct services to patients without the complications of insurance billing systems, thereby potentially making healthcare more accessible and less costly for patients seeking straightforward primary care.

Sentiment

The sentiment surrounding HB 541 appears predominantly positive, particularly among medical practitioners and patients who advocate for more straightforward healthcare payment models. Supporters argue that this bill empowers patients and doctors, fostering a more transparent doctor-patient relationship. However, there might be concerns among traditional insurers and regulatory bodies who may view this as a challenge to established systems. Still, the overall discussion reflects a desire for innovation in how healthcare is administered, especially in enhancing direct communication and payment between patient and provider.

Contention

While the bill has garnered significant support, there are notable points of contention regarding its implications for healthcare accessibility and quality. Critics may argue that such models could potentially exclude individuals who rely on insurance coverage for a wider range of medical needs. Additionally, there are concerns that the bill might encourage a two-tier healthcare system where those who can afford direct payments receive preferential treatment. The legislative debate has thus highlighted the balancing act between promoting innovative healthcare delivery systems and ensuring comprehensive coverage for all populations.

Texas Constitutional Statutes Affected

Occupations Code

• Chapter 162. Regulation Of Practice Of Medicine
  • Section: New Section
  • Section: New Section
  • Section: New Section

Labor Code

• Chapter 401. General Provisions
  • Section: 011

Insurance Code

• Chapter 1204. Procedures For Payment Of Certain Health And Accident Insurance Policy Or Plan Benefits
  • Section: 055