Texas HB3695 limits copayments for physical therapist visits to the same amount as primary care physician visits.

Texas HB3695 amends the Insurance Code to ensure that health maintenance organizations and preferred provider benefit plans cannot charge higher copayments for office visits with physical therapists if those visits do not require a referral from a physician or provider. The changes apply to health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026. The act takes effect September 1, 2025.

Texas HB3695 limits copayments for physical therapist visits to the same amount as primary care physician visits.

Texas HB3695 amends the Insurance Code to ensure that health maintenance organizations and preferred provider benefit plans cannot charge higher copayments for office visits with physical therapists if those visits do not require a referral from a physician or provider. The changes apply to health benefit plans delivered, issued for delivery, or renewed on or after January 1, 2026. The act takes effect September 1, 2025.