Texas SB1118 amends the Insurance Code to require certain health benefit plans to consider patient physical status and care complexity for anesthesia.
Texas SB1118 amends the Insurance Code to introduce new requirements for health benefit plans regarding anesthesia coverage and patient assessment. The bill mandates that health benefit plans take into account the patient's physical status and the complexity of care, as determined by the patient's treating physician or health care provider, when determining the necessity of services and calculating benefits payment amounts. These provisions apply to various types of health benefit plans, including small employer health benefit plans, standard health benefit plans, and basic coverage plans.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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