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  H.B. No. 2002
 
 
 
 
AN ACT
  relating to preferred provider benefit plan out-of-pocket expense
  credits for payments made by an insured directly to a physician or
  health care provider.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter C-1, Chapter 1301, Insurance Code, is
  amended by adding Section 1301.140 to read as follows:
         Sec. 1301.140.  OUT-OF-POCKET EXPENSE CREDIT. (a) An
  insurer shall credit toward an insured's deductible and annual
  maximum out-of-pocket expenses an amount the insured pays directly
  to any physician or health care provider for a medically necessary
  covered medical or health care service or supply if a claim for the
  service or supply is not submitted to the insurer and the amount
  paid by the insured to the physician or health care provider is less
  than the average discounted rate for the service or supply paid to
  an equivalently licensed or authorized preferred provider under the
  insured's preferred provider benefit plan.
         (b)  An insurer shall:
               (1)  establish a procedure by which an insured may
  claim a credit under Subsection (a); and
               (2)  identify documentation necessary to support a
  claim for a credit under Subsection (a).
         (c)  Information about the procedure and documentation
  described by Subsection (b) must be readily accessible to an
  insured on the insurer's Internet website.
         SECTION 2.  Section 1301.140, Insurance Code, as added by
  this Act, applies only to a preferred provider benefit plan that is
  delivered, issued for delivery, or renewed on or after January 1,
  2024.
         SECTION 3.  This Act takes effect September 1, 2023.
 
 
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
 
 
         I certify that H.B. No. 2002 was passed by the House on May 4,
  2023, by the following vote:  Yeas 144, Nays 0, 2 present, not
  voting.
 
  ______________________________
  Chief Clerk of the House   
 
 
         I certify that H.B. No. 2002 was passed by the Senate on May
  19, 2023, by the following vote:  Yeas 31, Nays 0.
 
  ______________________________
  Secretary of the Senate    
  APPROVED:  _____________________
                     Date          
   
            _____________________
                   Governor