The digital content on TLO has been updated to align with the accessibility standards required by WCAG 2.1.
Amend CSSB 809, house committee printing, by inserting the
following new SECTION, appropriately numbered, and renumbering
subsequent SECTIONS of the bill accordingly:
SECTION ____. Subchapter D, Chapter 1506, Insurance Code,
is amended by adding Section 1506.160 to read as follows:
Sec. 1506.160. REIMBURSEMENT RATES. The health benefit
coverage provided by the pool must provide payment or reimbursement
for covered benefits to physicians and other health care providers
at the lesser of:
(1) the rate specified in the contract between the
physician and other health care provider and the pool or a preferred
provider organization or health maintenance organization
established by or contracting with the pool; or
(2) the applicable Medicare allowable rate.