On Jun. 20, TX LEG enacted bill to allow certain ranking of physicians.
TX LEG enacted SB 926 (HB 1959) relating to certain practices of health benefit plan issuers to encourage use of certain physicians, health providers and rank physicians.
Allows health benefits that incentivize patients to make value-driven decisions.
Document dated Jun. 20, 2025, was received on Jul. 10 due to a fixed feed.
Bill Provisions
Amends TX INS 6-C-843-I by adding Sec 843.322, and TX INS 8-D-1301-A by adding Sec 1301.0047, both provisions on incentives to use certain physicians/providers.
Amends TX INS 8-D-1301.0045(a) to prohibit certain sections from being construed to limit the level of reimbursement or coverage e, including deductibles, copayments, coinsurance, or other cost-sharing provisions, applicable to preferred providers.
Or, for plans other than exclusive provider benefit plans, nonpreferred providers.
Amend TX INS 8-F-1460.003 to allow issuer to rank physicians based on performance, if the standards used for ranking are developed by organization approved by TX INS.
Legislative History
On Jan. 24, 2025, bill introduced in Senate; on Apr. 16, 2025, bill passed in Senate.
On Apr. 17, 2025, bill was introduced in House; on May 28, 2025, bill passed in House.
On Jun. 1, 2025, bill delivered to governor; on Jun. 20, 2025, bill signed by governor.
