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TexasSB 254489th Legislature Regular SessionSenate

Relating to eligibility for mediation of certain out-of-network health benefit claims.

Sponsored By: Hancock, Matt Morgan

Signed by Governor

Insurance--Health & AccidentMEDIATION, DISPUTE RESOLUTION, & ARBITRATION

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 1 costs, 0 mixed.

New mediation deadlines for out-of-network health claims

Texas sets deadlines for out-of-network providers, health plan issuers, and plan administrators to request mandatory mediation of payment disputes. For services or supplies provided on or after the law’s effective date, the deadline is 180 days after the provider’s initial payment. For earlier services or supplies, requests must be made within 120 days after the effective date. Prior rules govern those older disputes; missing the 120-day deadline makes them ineligible for this mediation process. The law takes effect immediately with approval from two-thirds of all elected members of each legislative chamber; otherwise, September 1, 2025.

Sponsors & Cosponsors

Sponsors

  • Hancock

    Affiliation unavailable

  • Matt Morgan

    House

Cosponsors

  • Royce West

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 317 • No: 8

Senate vote • 5/26/2025

Record vote

Yes: 31 • No: 0

House vote • 5/9/2025

Record vote

Yes: 135 • No: 5

House vote • 5/8/2025

Record vote

Yes: 135 • No: 3

Senate vote • 4/30/2025

Record vote

Yes: 0 • No: 0

Senate vote • 4/30/2025

Record vote

Yes: 0 • No: 0

House vote • Unknown

Committee vote: Insurance

Yes: 7 • No: 0

Senate vote • Unknown

Committee vote: Health & Human Services

Yes: 9 • No: 0

Actions Timeline

  1. Effective immediately

    6/20/2025House

  2. Signed by the Governor

    6/20/2025House

  3. Sent to the Governor

    5/28/2025House

  4. Signed in the House

    5/28/2025House

  5. Signed in the Senate

    5/27/2025Senate

  6. Reported enrolled

    5/26/2025Senate

  7. Senate concurs in House amendment(s)-reported

    5/26/2025House

  8. Record vote

    5/26/2025Senate

  9. Senate concurs in House amendment(s)

    5/26/2025Senate

  10. Read

    5/26/2025Senate

  11. House amendment(s) laid before the Senate

    5/26/2025Senate

  12. House passage as amended reported

    5/12/2025Senate

  13. Statement(s) of vote recorded in Journal

    5/9/2025House

  14. Record vote (RV#1887)

    5/9/2025House

  15. Passed

    5/9/2025House

  16. Read 3rd time

    5/9/2025House

  17. Statement(s) of vote recorded in Journal

    5/8/2025House

  18. Record vote (RV#1866)

    5/8/2025House

  19. Passed to 3rd reading as amended

    5/8/2025House

  20. Amended (1-Morgan)

    5/8/2025House

  21. Read 2nd time

    5/8/2025House

  22. Laid out in lieu of companion (CSHB 4603)

    5/8/2025House

  23. Committee report sent to Calendars

    5/8/2025House

  24. Committee report distributed

    5/7/2025House

  25. Comte report filed with Committee Coordinator

    5/7/2025House

Bill Text

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