Texas HB5036 amends the Insurance Code to redefine out-of-network providers and change arbitration fee payment rules.

Texas HB5036 amends the Insurance Code to redefine "out-of-network provider" to include diagnostic imaging, emergency care, facility-based, and laboratory service providers not participating in a health benefit plan. The bill also changes the rule for paying arbitrator's fees and expenses, requiring the losing party to pay within 30 days of receiving the written decision. These changes apply to health care or medical services provided on or after January 1, 2026.

Texas HB5036 amends the Insurance Code to redefine out-of-network providers and change arbitration fee payment rules.

Texas HB5036 amends the Insurance Code to redefine "out-of-network provider" to include diagnostic imaging, emergency care, facility-based, and laboratory service providers not participating in a health benefit plan. The bill also changes the rule for paying arbitrator's fees and expenses, requiring the losing party to pay within 30 days of receiving the written decision. These changes apply to health care or medical services provided on or after January 1, 2026.