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A BILL TO BE ENTITLED
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AN ACT
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relating to the payment for services provided by certain types of |
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health care practitioners under contracts between the |
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practitioners and managed care health benefit plans. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter C, Chapter 1451, Insurance Code, is |
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amended by adding Section 1451.1041 to read as follows: |
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Sec. 1451.1041. NONDISCRIMINATORY PAYMENT OF NETWORK |
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PRACTITIONERS. (a) In this section, "managed care plan" means a |
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plan under which a health maintenance organization, preferred |
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provider benefit plan issuer, or other organization provides or |
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arranges for health care benefits to plan participants and requires |
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or encourages plan participants to use health care practitioners |
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the plan designates. |
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(b) In entering into contracts for the provision of health |
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care services to managed care plan participants by health care |
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practitioners eligible to be selected under this subchapter, the |
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issuer of a managed care plan may not differentiate among those |
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types of practitioners in the amount to be paid by the plan issuer, |
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or the method to be used by the plan issuer to compute the amount to |
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be paid by the plan issuer, for the performance of a covered |
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physical modality or procedure that is within the scope of the |
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license of more than one of those types of practitioners. |
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SECTION 2. The change in law made by this Act applies only |
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to contracts entered into or renewed on or after the effective date |
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of this Act. |
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SECTION 3. This Act takes effect September 1, 2013. |