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Relating to the method of payment for certain health care and certain contract provisions affecting health care reimbursement rates.
The fiscal implications of the bill cannot be determined at this time.
HB 4051 would prohibit a health benefit plan from preventing an enrollee from paying a physician or health care provider in full directly in lieu of submitting a claim to the benefit plan. The bill would also prohibit physician or health care provider from charging an uninsured patient more for a service than an insured.
HB 4051 would also prohibit a contracting entity from offering or entering into a contract with most favored nation clause or amending an existing contract to add a most favored nation clause.
Texas Action is neutral on HB 4051. While the bill does add some requirements to health benefit plan providers, it does not add new coverage mandates. The requirements of HB 4051 do not appear onerous for health benefit plan providers to comply with.
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