Enrolled Bill Summary

            House Bill 2831 amends the Insurance Code to require a managed care entity to provide an out-of-network health care provider, upon request, with a written description of the factors considered by the entity in determining reimbursement that the provider may receive for goods or services provided to a person enrolled in or insured under the entity's managed care plan. The bill stipulates that the requirement to provide information about reimbursement criteria does not require the disclosure of proprietary information protected by a contract between the managed care entity and a vendor supplying data to the vendor, except that the vendor's name, methodology, or data sources are not subject to contractual protection from disclosure. The bill also requires an entity that denies a request to send a copy of the request to the Texas Department of Insurance for review.