Texas 2023 - 88th Regular

Texas House Bill HB1726

Filed
1/26/23  
Out of Senate Committee
 
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services.

Impact

If enacted, HB 1726 would have a significant impact on state laws regarding health insurance and telehealth services. By mandating reimbursement parity, the bill reinforces a critical shift toward integrating telehealth into the broader healthcare system, promoting equity for treatment options in both physical and virtual settings. It attempts to ensure that health professionals, regardless of the modality of service delivery, are compensated fairly, thus supporting the sustainability of telehealth practices, particularly in underserved areas.

Summary

House Bill 1726 is an act concerning the reimbursement and payment of claims by health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services, aiming to ensure pay parity between these services and traditional in-person visits. It amends the Texas Insurance Code to require that health benefit plan issuers reimburse health professionals for telehealth services at least at the same rate as for in-person services. This measure reflects the increasing reliance on telehealth services, which surged during the COVID-19 pandemic, addressing an essential gap in healthcare delivery and reimbursement policies.

Sentiment

The general sentiment surrounding HB 1726 appears supportive from many healthcare advocates and industry representatives. Supporters argue that the bill is vital for fostering comprehensive healthcare access and encouraging the use of telehealth as a legitimate and reimbursable option. However, there is also notable opposition from certain stakeholders, particularly those concerned about the financial implications and potential increases in costs for health benefit plans if reimbursement rates for telehealth services are mandated to match those of in-person visits.

Contention

Debate around the bill highlights important points of contention regarding reimbursement structures and the sustainability of telehealth services. Critics argue that while the intention to promote telehealth equity is commendable, the potential for escalating costs associated with higher reimbursement rates could challenge the financial viability of health benefit plans. There could also be concerns related to the integrity of health services delivered over telehealth compared to traditional methods and whether such parity would affect the overall quality of patient care.

Companion Bills

TX SB724

Identical Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services.

TX SB1043

Same As Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services.

Previously Filed As

TX HB5343

Relating to the reimbursement and payment of claims by certain health benefit plan issuers for telemedicine medical services, teledentistry dental services, and telehealth services.

TX HB1021

Relating to telemedicine medical services and telehealth services covered by certain health benefit plans or provided by a pharmacist.

TX HB1700

Relating to certain records of a health professional providing a telemedicine medical service, teledentistry dental service, or telehealth service.

TX SB397

Relating to rules regarding the provision by a health professional of a telemedicine medical service, teledentistry dental service, or telehealth service.

TX HB1051

Relating to health benefit plan coverage of telemedicine, teledentistry, and telehealth services provided by only synchronous or asynchronous audio interaction.

TX HB1052

Relating to health benefit plan coverage of telemedicine, teledentistry, and telehealth appointments with an originating site or distant site located outside this state.

TX HB997

Relating to the provision of telehealth and telemedicine medical services by certain health professionals located outside of this state; requiring registration to engage in an occupation; authorizing fees.

TX SB471

Relating to the provision of telehealth and telemedicine medical services by certain health professionals located outside of this state; requiring registration to engage in an occupation; authorizing fees.

TX HB1596

Department of Medical Assistance Services; state plan for medical assistance services; telemedicine services.

TX S839

Revises reimbursement payments for providers using telemedicine and telehealth.

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