Bill Text: TX HB1776 | 2011-2012 | 82nd Legislature | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating to contracts between dentists and health maintenance organizations or insurers.
Spectrum: Moderate Partisan Bill (Republican 5-1)
Status: (Engrossed - Dead) 2011-05-19 - Committee report printed and distributed [HB1776 Detail]
Download: Texas-2011-HB1776-Introduced.html
Bill Title: Relating to contracts between dentists and health maintenance organizations or insurers.
Spectrum: Moderate Partisan Bill (Republican 5-1)
Status: (Engrossed - Dead) 2011-05-19 - Committee report printed and distributed [HB1776 Detail]
Download: Texas-2011-HB1776-Introduced.html
82R2249 RWG-F | ||
By: Lozano | H.B. No. 1776 |
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relating to contracts between dentists and health maintenance | ||
organizations or insurers. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter I, Chapter 843, Insurance Code, is | ||
amended by adding Section 843.3115 to read as follows: | ||
Sec. 843.3115. CONTRACTS WITH DENTISTS. A contract between | ||
a health maintenance organization and a dentist may not limit the | ||
fee the dentist may charge for a service for which an enrollee's | ||
health care plan does not provide a benefit or reimbursement, | ||
including a service that exceeds the annual or lifetime maximum | ||
plan limit or that is provided during a waiting period. | ||
SECTION 2. Subchapter E, Chapter 1451, Insurance Code, is | ||
amended by adding Section 1451.2065 to read as follows: | ||
Sec. 1451.2065. CONTRACTS WITH DENTISTS. A contract | ||
between an insurer and a dentist may not limit the fee the dentist | ||
may charge for a service for which a patient's employee benefit plan | ||
or health insurance policy does not provide a benefit or | ||
reimbursement, including a service that exceeds the annual or | ||
lifetime maximum limit of the plan or policy or that is provided | ||
during a waiting period. | ||
SECTION 3. Sections 843.3115 and 1451.2065, Insurance Code, | ||
as added by this Act, apply only to a contract entered into or | ||
renewed on or after the effective date of this Act. A contract | ||
entered into or renewed before the effective date of this Act is | ||
governed by the law in effect immediately before the effective date | ||
of this Act, and that law is continued in effect for that purpose. | ||
SECTION 4. This Act takes effect September 1, 2011. |