Texas HB2616 allows certain health benefit plan issuers to contract for health care services with specific compensation arrangements.

Texas HB2616 amends the Insurance Code to allow certain health benefit plan issuers to enter into contracts with other issuers for the provision of health care services. These contracts can include compensation arrangements such as fee-for-service, risk-sharing, or capitation. Compensation between the issuers is limited to these arrangements, while payments to health care practitioners must be fee-for-service. The bill applies to accident and health insurance companies and health maintenance organizations. The changes take effect September 1, 2025.

Texas HB2616 allows certain health benefit plan issuers to contract for health care services with specific compensation arrangements.

Texas HB2616 amends the Insurance Code to allow certain health benefit plan issuers to enter into contracts with other issuers for the provision of health care services. These contracts can include compensation arrangements such as fee-for-service, risk-sharing, or capitation. Compensation between the issuers is limited to these arrangements, while payments to health care practitioners must be fee-for-service. The bill applies to accident and health insurance companies and health maintenance organizations. The changes take effect September 1, 2025.