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89(R) HB 4603 - House Committee Report version - Bill Text
89R23190 SCF-F
By: Morgan
H.B. No. 4603
Substitute the following for H.B. No. 4603:
By: Dean
C.S.H.B. No. 4603
A BILL TO BE ENTITLED
AN ACT
relating to eligibility for mediation of certain out-of-network
health benefit claims.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 1467.054(a), Insurance Code, is amended
to read as follows:
(a)
Not later than the 90th day after the date an
out-of-network provider receives an initial payment for a health
care or medical service or supply, an
[
An
] out-of-network provider
or a health benefit plan issuer or administrator may request
mandatory mediation under this subchapter.
SECTION 2. (a) The changes in law made by this Act apply to
a health care or medical service or supply provided:
(1) on or after the 30th day after the effective date
of this Act; or
(2) before the 30th day after the effective date of
this Act, if an out-of-network provider or health benefit plan
issuer or administrator requests mandatory mediation under
Subchapter B, Chapter 1467, Insurance Code, as amended by this Act,
in relation to payment for the service or supply on or before the
120th day after the effective date of this Act.
(b) A health care or medical service or supply provided
before the 30th day after the effective date of this Act to which
Subsection (a) of this section does not apply is governed by the law
in effect immediately before the effective date of this Act, and
that law is continued in effect for that purpose.
SECTION 3. This Act takes effect immediately if it receives
a vote of two-thirds of all the members elected to each house, as
provided by Section 39, Article III, Texas Constitution. If this
Act does not receive the vote necessary for immediate effect, this
Act takes effect September 1, 2025.