Bill Text: TX SB1359 | 2023-2024 | 88th Legislature | Introduced
Bill Title: Relating to reporting on the use of telemedicine medical services and telehealth services among participating providers of certain managed care plans.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2023-03-16 - Referred to Health & Human Services [SB1359 Detail]
Download: Texas-2023-SB1359-Introduced.html
| 88R2049 SCL-D | ||
| By: Schwertner | S.B. No. 1359 | |
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| relating to reporting on the use of telemedicine medical services | ||
| and telehealth services among participating providers of certain | ||
| managed care plans. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Subtitle C, Title 8, Insurance Code, is amended | ||
| by adding Chapter 1276 to read as follows: | ||
| CHAPTER 1276. REPORTING REQUIREMENTS | ||
| SUBCHAPTER A. GENERAL PROVISIONS | ||
| Sec. 1276.001. DEFINITIONS. In this chapter: | ||
| (1) "Participating provider" means a physician or | ||
| health care provider who contracts with a health benefit plan | ||
| issuer or administrator to provide medical care or health care to | ||
| enrollees in a health benefit plan. | ||
| (2) "Telehealth service" and "telemedicine medical | ||
| service" have the meanings assigned by Section 111.001, Occupations | ||
| Code. | ||
| Sec. 1276.002. APPLICABILITY OF CHAPTER. This chapter | ||
| applies only to: | ||
| (1) a health benefit plan offered by a health | ||
| maintenance organization operating under Chapter 843; | ||
| (2) a preferred provider benefit plan, including an | ||
| exclusive provider benefit plan, offered by an insurer under | ||
| Chapter 1301; and | ||
| (3) an administrator of a health benefit plan offered | ||
| under Chapter 1551, 1575, or 1579. | ||
| Sec. 1276.003. RULES. The commissioner may adopt rules | ||
| necessary to implement this chapter. | ||
| SUBCHAPTER B. NETWORK ADEQUACY REPORTING | ||
| Sec. 1276.051. ANNUAL REPORT ON USE OF TELEMEDICINE MEDICAL | ||
| AND TELEHEALTH SERVICES FOR NETWORK. A health benefit plan issuer | ||
| or administrator shall submit an annual report to the department in | ||
| the form and manner prescribed by commissioner rule on whether each | ||
| participating provider for a health benefit plan issued or | ||
| administered by the issuer or administrator provides services | ||
| primarily: | ||
| (1) in person in the area in which the plan's enrollees | ||
| reside; or | ||
| (2) through the use of telemedicine medical services | ||
| or telehealth services. | ||
| SECTION 2. This Act takes effect September 1, 2023. | ||
