HB3414 - Relating to preferred provider benefit plan out-of-pocket expense credits for payments made by an insured directly to a physician providing direct primary care.

  89R10939 DNC-F     By: Oliverson H.B. No. 3414       A BILL TO BE ENTITLED   AN ACT   relating to preferred provider benefit plan out-of-pocket expense   credits for payments made by an insured directly to a physician   providing direct primary care.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 1301.140, Insurance Code, is amended by   adding Subsection (a-1) to read as follows:           (a-1)     For purposes of Subsection (a), an insurer who   provides coverage for primary care services shall treat a direct   fee charged by a physician who provides direct primary care as a fee   for a medically necessary covered medical or health care service or   supply.   In this subsection, "direct fee" and "direct primary care"   have the meanings assigned by Section 162.251, Occupations Code.          SECTION 2.  Section 1301.140(a-1), Insurance Code, as added   by this Act, applies only to a preferred provider benefit plan that   is delivered, issued for delivery, or renewed on or after January 1,   2026.          SECTION 3.  This Act takes effect September 1, 2025.