Bill Text: TX HB2002 | 2023-2024 | 88th Legislature | Enrolled
Bill Title: 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.
Spectrum: Partisan Bill (Republican 3-0)
Status: (Passed) 2023-06-09 - Effective on 9/1/23 [HB2002 Detail]
Download: Texas-2023-HB2002-Enrolled.html
H.B. No. 2002 |
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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. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter C-1, Chapter 1301, Insurance Code, is | ||
amended by adding Section 1301.140 to read as follows: | ||
Sec. 1301.140. OUT-OF-POCKET EXPENSE CREDIT. (a) An | ||
insurer shall credit toward an insured's deductible and annual | ||
maximum out-of-pocket expenses an amount the insured pays directly | ||
to any physician or health care provider for a medically necessary | ||
covered medical or health care service or supply if a claim for the | ||
service or supply is not submitted to the insurer and the amount | ||
paid by the insured to the physician or health care provider is less | ||
than the average discounted rate for the service or supply paid to | ||
an equivalently licensed or authorized preferred provider under the | ||
insured's preferred provider benefit plan. | ||
(b) An insurer shall: | ||
(1) establish a procedure by which an insured may | ||
claim a credit under Subsection (a); and | ||
(2) identify documentation necessary to support a | ||
claim for a credit under Subsection (a). | ||
(c) Information about the procedure and documentation | ||
described by Subsection (b) must be readily accessible to an | ||
insured on the insurer's Internet website. | ||
SECTION 2. Section 1301.140, Insurance Code, as added by | ||
this Act, applies only to a preferred provider benefit plan that is | ||
delivered, issued for delivery, or renewed on or after January 1, | ||
2024. | ||
SECTION 3. This Act takes effect September 1, 2023. | ||
______________________________ | ______________________________ | |
President of the Senate | Speaker of the House | |
I certify that H.B. No. 2002 was passed by the House on May 4, | ||
2023, by the following vote: Yeas 144, Nays 0, 2 present, not | ||
voting. | ||
______________________________ | ||
Chief Clerk of the House | ||
I certify that H.B. No. 2002 was passed by the Senate on May | ||
19, 2023, by the following vote: Yeas 31, Nays 0. | ||
______________________________ | ||
Secretary of the Senate | ||
APPROVED: _____________________ | ||
Date | ||
_____________________ | ||
Governor |