TO: | Honorable Bill Ratliff, Chair, Senate Committee on State Affairs |
FROM: | John Keel, Director, Legislative Budget Board |
IN RE: | HB3022 by Taylor (Relating to the availability of preferred providers.), As Engrossed |
The bill relates to the availability of preferred providers. It would clarify that the requirement of reasonable availability does not limit a preferred provider benefit plan in the level of reimbursement or level of coverage with respect to deductibles, co-payments, coinsurance, or other cost-sharing measures that a preferred provider benefit plan requires for access to both preferred and non-preferred providers. Enactment of the bill could cause an increase in filings with the Department of Insurance (TDI). The agency has required that health benefit plans pay a minimum coinsurance amount of 50 percent. Many carriers would probably refile policy forms to take advantage of permissible lower coinsurance amounts and higher deductibles; therefore, TDI could anticipate an increase in the number of filings.
Source Agencies: | 454 Department of Insurance
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LBB Staff: | JK, RR, JRO, RT, RB
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