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Senate Bill 2476 |
Senate Author: Zaffirini et al. |
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Effective: See below |
House Sponsor: Oliverson |
Senate Bill 2476 amends the Insurance Code to, among other provisions, provide the method for determining the amount that a health maintenance organization, the administrator of a health benefit plan offered by a nonprofit agricultural organization, an insurer offering a preferred provider benefit plan, and the administrator of a managed care plan provided under the Texas Employees Group Benefits Act, Texas Public School Retired Employees Group Benefits Act, or Texas School Employees Uniform Group Health Coverage Act, as applicable, must pay for a covered health or medical care service performed for, or a covered supply or transport related to that service provided to, an enrollee, participant, or insured by a non‑network or out‑of‑network emergency medical services (EMS) provider. A political subdivision may submit to the Texas Department of Insurance (TDI) a rate set, controlled, or regulated by the political subdivision for purposes of such providers and out‑of‑network EMS provider payments, and TDI must establish a publicly‑accessible database for the rates. The bill sets certain of its provisions to expire on September 1, 2025. Except as otherwise provided by the bill, the bill takes effect September 1, 2023.