Subscribe to receive our Floor Reports covering all the action on the Texas House and Senate floor!
Relating to payment for care provided by a chiropractor under certain health benefit plans; providing administrative penalties.
No significant fiscal implication to the State is anticipated.
SB 1739 would prohibit a health maintenance organization (HMO) offering a health care plan that covers a service that is within the scope of a chiropractor's license from refusing to provide reimbursement to an in-network chiropractor for the performance of the covered service solely because the service is provided by a chiropractor. This bill would specify that this does not require a HMO to cover a particular health care service, nor does it affect the right of a HMO to determine whether a health care service is medically necessary.
This bill would impose an administrative penalty of not more than $1,000 for each claim that remains unpaid in violation of these provisions.
Texas Action remains neutral on SB 1739 because it does not affect our liberty principles. This bill does not place an undue burden on insurance providers, nor does it require them to cover a particular health care service.