Bill Text: TX SB1003 | 2023-2024 | 88th Legislature | Enrolled
Bill Title: Relating to disclosure requirements for health care provider directories maintained by certain health benefit plan issuers.
Spectrum: Slight Partisan Bill (Democrat 3-1)
Status: (Passed) 2023-05-13 - Effective on 9/1/23 [SB1003 Detail]
Download: Texas-2023-SB1003-Enrolled.html
S.B. No. 1003 |
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relating to disclosure requirements for health care provider | ||
directories maintained by certain health benefit plan issuers. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 1451.501(1-a), Insurance Code, is | ||
amended to read as follows: | ||
(1-a) "Facility-based physician or provider" means a | ||
physician or health care provider [ |
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(A) to whom a facility has granted clinical | ||
privileges; and | ||
(B) who provides services to patients of the | ||
facility under those clinical privileges. | ||
SECTION 2. Section 1451.504, Insurance Code, is amended by | ||
amending Subsections (c) and (d) and adding Subsection (e) to read | ||
as follows: | ||
(c) Except as provided by Subsection (e), for [ |
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health care provider that is a facility included in the directory | ||
under this section, the directory must: | ||
(1) list under the facility name separate headings for | ||
specialties, including radiologists, anesthesiologists, nurse | ||
anesthetists, anesthesiologist assistants, pathologists, | ||
emergency department physicians, neonatologists, nurse midwives, | ||
surgical assistants, physical therapists, occupational therapists, | ||
speech-language pathologists, and any other specialty identified | ||
by commissioner rule [ |
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(2) list under each heading described by Subdivision | ||
(1) each facility-based physician or provider described by | ||
Subsection (a) practicing in the specialty corresponding with that | ||
heading that is a preferred provider, exclusive provider, or | ||
network physician or provider; | ||
(3) for the facility and each facility-based physician | ||
or provider described by Subdivision (2), clearly indicate each | ||
health benefit plan issued by the issuer that may provide coverage | ||
for the services provided by that facility or facility-based | ||
physician or provider; and | ||
(4) include the facility in a listing of all | ||
facilities included in the directory indicating: | ||
(A) the name of the facility; | ||
(B) the municipality in which the facility is | ||
located or county in which the facility is located if the facility | ||
is in the unincorporated area of the county; | ||
(C) for each specialty of facility-based | ||
physician or provider practicing at the facility, the name, street | ||
address, and telephone number of any facility-based physician or | ||
provider that is a preferred provider, exclusive provider, or | ||
network physician or provider or of the physician or provider group | ||
in which the facility-based physician or provider practices; | ||
(D) each health benefit plan issued by the issuer | ||
that may provide coverage for the services provided by the | ||
facility; and | ||
(E) each health benefit plan issued by the issuer | ||
that may provide coverage for the services provided by each | ||
facility-based physician or provider group. | ||
(d) The directory must list a facility-based physician or | ||
provider individually and, if the physician or provider belongs to | ||
a physician or provider group, as part of the physician or provider | ||
group. | ||
(e) The directory is not required to list a physician or | ||
health care provider who is employed by the facility. | ||
SECTION 3. A health benefit plan issuer shall update the | ||
issuer's physician and health care provider directory and Internet | ||
website to conform with Subchapter K, Chapter 1451, Insurance Code, | ||
as amended by this Act, not later than January 1, 2024. | ||
SECTION 4. This Act takes effect September 1, 2023. | ||
______________________________ | ______________________________ | |
President of the Senate | Speaker of the House | |
I hereby certify that S.B. No. 1003 passed the Senate on | ||
April 5, 2023, by the following vote: Yeas 31, Nays 0; and that the | ||
Senate concurred in House amendment on May 1, 2023, by the following | ||
vote: Yeas 31, Nays 0. | ||
______________________________ | ||
Secretary of the Senate | ||
I hereby certify that S.B. No. 1003 passed the House, with | ||
amendment, on April 26, 2023, by the following vote: Yeas 145, | ||
Nays 1, one present not voting. | ||
______________________________ | ||
Chief Clerk of the House | ||
Approved: | ||
______________________________ | ||
Date | ||
______________________________ | ||
Governor |