Texas SB2805 amends the Insurance Code to redefine "out-of-network provider" and change arbitration fee payment rules.

Texas SB2805 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. The act takes effect September 1, 2025.

Texas SB2805 amends the Insurance Code to redefine "out-of-network provider" and change arbitration fee payment rules.

Texas SB2805 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. The act takes effect September 1, 2025.