Bill Text: TX HB2299 | 2013-2014 | 83rd Legislature | Introduced
Bill Title: Relating to certain provisions applicable to an optometrist, therapeutic optometrist, or ophthalmologist providing services under a managed care plan.
Sponsorship: Bipartisan Bill
Status: (Introduced - Dead) 2013-04-11 - Failed to receive affirmative vote in comm. [HB2299 Detail]
Download: Texas-2013-HB2299-Introduced.html
| 83R7956 SCL-F | ||
| By: Munoz, Jr. | H.B. No. 2299 | |
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| relating to certain provisions applicable to an optometrist, | ||
| therapeutic optometrist, or ophthalmologist providing services | ||
| under a managed care plan. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Section 1451.153(a), Insurance Code, is amended | ||
| to read as follows: | ||
| (a) A managed care plan may not: | ||
| (1) discriminate against a health care practitioner | ||
| because the practitioner is an optometrist, therapeutic | ||
| optometrist, or ophthalmologist; | ||
| (2) restrict or discourage a plan participant from | ||
| obtaining covered vision or medical eye care services or procedures | ||
| from a participating optometrist, therapeutic optometrist, or | ||
| ophthalmologist solely because the practitioner is an optometrist, | ||
| therapeutic optometrist, or ophthalmologist; | ||
| (3) exclude an optometrist, therapeutic optometrist, | ||
| or ophthalmologist as a participating practitioner in the plan | ||
| because the optometrist, therapeutic optometrist, or | ||
| ophthalmologist does not have medical staff privileges at a | ||
| hospital or at a particular hospital; | ||
| (4) exclude an optometrist, therapeutic optometrist, | ||
| or ophthalmologist as a participating practitioner in the plan | ||
| because the services or procedures provided by the optometrist, | ||
| therapeutic optometrist, or ophthalmologist may be provided by | ||
| another type of health care practitioner; [ |
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| (5) as a condition for a therapeutic optometrist or | ||
| ophthalmologist to be included in one or more of the plan's medical | ||
| panels, require the therapeutic optometrist or ophthalmologist to | ||
| be included in, or to accept the terms of payment under or for, a | ||
| particular vision panel in which the therapeutic optometrist or | ||
| ophthalmologist does not otherwise wish to be included; | ||
| (6) use different contractual terms and conditions or | ||
| administrative procedures for an optometrist, therapeutic | ||
| optometrist, or ophthalmologist solely because the practitioner is | ||
| an optometrist, therapeutic optometrist, or ophthalmologist; | ||
| (7) use, within a geographic area, different | ||
| contractual fee schedules or reimbursement amounts for an | ||
| optometrist, therapeutic optometrist, or ophthalmologist solely | ||
| because the practitioner is an optometrist, therapeutic | ||
| optometrist, or ophthalmologist; or | ||
| (8) use different claim adjudication methodologies or | ||
| procedures for an optometrist, therapeutic optometrist, or | ||
| ophthalmologist solely because the practitioner is an optometrist, | ||
| therapeutic optometrist, or ophthalmologist. | ||
| SECTION 2. The change in law made by this Act applies only | ||
| to a contract entered into or renewed on or after January 1, 2014. A | ||
| contract that is entered into before January 1, 2014, is governed by | ||
| the law in effect as it existed immediately before the effective | ||
| date of this Act, and that law is continued in effect for that | ||
| purpose. | ||
| SECTION 3. This Act takes effect September 1, 2013. | ||
