All Roll Calls
Yes: 287 • No: 0
TexasSB 92689th Legislature Regular SessionSenateWALLET
Relating to certain practices of health benefit plan issuers to encourage the use of certain physicians and health care providers and rank physicians.
Sponsored By: James Frank, Hancock
Signed by Governor
Health Care ProvidersInsurance--Health & AccidentHEALTH MAINTENANCE ORGANIZATIONSPHYSICIANSINSURANCE, COMMISSIONER OF
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Health plan members gain steering protections
Beginning September 1, 2025, Texas health plans can change deductibles, copays, coinsurance, or other cost sharing to encourage certain providers. These incentives must mainly benefit members and cannot depend only on cost or shared ownership with the provider. Plans must use objective, accurate, verifiable information and take reasonable steps to avoid steering members to much lower-quality providers. They cannot limit access to medically necessary care or make materially false claims about provider quality or costs. Out-of-network emergency care cannot carry higher cost sharing than the same care in-network. Vision care plans are excluded.
Doctors gain safeguards against misleading rankings
Beginning September 1, 2025, Texas health plans can rank doctors only using standards from a state-designated medical specialty society or unbiased organization. Standards must stress care quality, use supported evidence, and explain their methods publicly. Standards based on patient outcomes must account for differences in patient risks. Plans must give affected doctors their rankings, methods, and affected products or networks at least 45 days before release. Doctors must have an easy way to report errors before release and verifiable false information afterward. When doctors provide enough proof of an error or violation, plans must fix it by the later of release or 30 days after receiving that proof. If the insurance commissioner finds a pattern of errors, falsehoods, or violations, the commissioner must ban that plan's use of the system for at least 12 consecutive months.
Sponsors & Cosponsors
Sponsors
James Frank
House
Hancock
Affiliation unavailable
Cosponsors
César Blanco
Democratic • Senate
Roll Call Votes
House vote • 5/28/2025
Record vote
Yes: 138 • No: 0
House vote • 5/27/2025
Record vote
Yes: 132 • No: 0
Senate vote • 4/16/2025
Record vote
Yes: 0 • No: 0
Senate vote • 4/16/2025
Record vote
Yes: 0 • No: 0
House vote • Unknown
Committee vote: Insurance
Yes: 8 • No: 0
Senate vote • Unknown
Committee vote: Health & Human Services
Yes: 9 • No: 0
Actions Timeline
Effective on 9/1/25
6/20/2025HouseSigned by the Governor
6/20/2025HouseSent to the Governor
6/1/2025HouseSigned in the House
6/1/2025HouseSigned in the Senate
5/30/2025SenateReported enrolled
5/28/2025SenateHouse passage reported
5/28/2025SenateStatement(s) of vote recorded in Journal
5/28/2025HouseRecord vote (RV#3870)
5/28/2025HousePassed
5/28/2025HouseRead 3rd time
5/28/2025HouseStatement(s) of vote recorded in Journal
5/27/2025HouseRecord vote (RV#3757)
5/27/2025HousePassed to 3rd reading
5/27/2025HouseRead 2nd time
5/27/2025HousePlaced on General State Calendar
5/25/2025HouseConsidered in Calendars
5/23/2025HouseConsidered in Calendars
5/22/2025HouseCommittee report sent to Calendars
4/29/2025HouseCommittee report distributed
4/29/2025HouseComte report filed with Committee Coordinator
4/29/2025HouseReported favorably w/o amendment(s)
4/23/2025HouseConsidered in public hearing
4/23/2025HouseReferred to Insurance
4/22/2025HouseRead first time
4/22/2025House
Bill Text
Engrossed
Enrolled
House Committee Report
Introduced
Senate Committee Report
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