Texas HB3943 prohibits health benefit plan issuers from offering incentives to patients to use affiliated providers.
Texas HB3943 amends the Insurance Code to restrict certain practices by health benefit plan issuers regarding affiliated and nonaffiliated providers. The bill prohibits issuers from offering higher reimbursement rates to nonaffiliated providers if they agree to join an affiliated provider. It also bans issuers from requiring patients to use affiliated providers to receive maximum benefits and from encouraging patients to use affiliated providers through specific communications.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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