Texas SB926: Relating to certain practices of health benefit plan issuers to encourage the use of certain physicians and health care providers and rank physicians.

What the bill says

An act relating to certain practices of health benefit plan issuers to encourage the use of certain physicians and health care providers and rank physicians.

From the enrolled text, May 28, 2025:

AN ACT relating to certain practices of health benefit plan issuers to encourage the use of certain physicians and health care providers and rank physicians. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter I, Chapter 843, Insurance Code, is amended by adding Section 843.322 to read as follows: [ADDED: Sec.][ADDED: ][ADDED: 843.322.][ADDED: ][ADDED: ][ADDED: INCENTIVES TO USE CERTAIN PHYSICIANS OR ] [ADDED: PROVIDERS. (a) ][ADDED: ][ADDED: A health maintenance organization may provide ] [ADDED: incentives for enrollees to use certain physicians or providers ] [ADDED: through modified deductibles, copayments, coinsurance, or other ] [ADDED: cost-sharing provisions.] [ADDED: (b)][ADDED: ][ADDED: ][ADDED: A health maintenance organization that encourages an ] [ADDED: enrollee to obtain a health care service from a particular ] [ADDED: physician or provider, including offering incentives to encourage ] [ADDED: enrollees to use specific physicians or providers, or that ] [ADDED: introduces or modifies a tiered network plan or assigns physicians ] [ADDED: or providers into tiers, has a fiduciary duty to the enrollee or ] [ADDED: group contract holder to engage in that conduct only for the primary ] [ADDED: benefit of the enrollee or group contract holder.] [ADDED: (c)][ADDED: ][ADDED: ][ADDED: A health maintenance organization violates the ] [ADDED: fiduciary duty described by Subsection (b) by offering incentives ] [ADDED: to …

Sponsors

• Kelly Hancock (R, SD-009) · primary sponsor
• Cesar Blanco (D, SD-029)
• James Frank (R, HD-069)

Latest actions

1. June 20, 2025: Effective on 9/1/25
2. June 20, 2025: Signed by the Governor
3. June 1, 2025: Sent to the Governor
4. June 1, 2025: Signed in the House
5. May 30, 2025: Signed in the Senate
6. May 28, 2025: Reported enrolled
7. May 28, 2025: House passage reported
8. May 28, 2025: Statement(s) of vote recorded in Journal
9. May 28, 2025: Record vote (RV#3870)
10. May 28, 2025: Passed

Votes

• Insurance Committee Vote (Out of committee): 8 yea, 0 nay, passed
• Health & Human Services Committee Vote (Out of committee): 9 yea, 0 nay, passed
• Record vote RV#3870 (May 28, 2025): 138 yea, 0 nay, passed
• Record vote RV#3757 (May 27, 2025): 132 yea, 0 nay, passed

Common questions

What is SB926?

SB926 is a bill in the Texas Legislature (89th Legislature Regular Session): Relating to certain practices of health benefit plan issuers to encourage the use of certain physicians and health care providers and rank physicians.

What does SB926 do?

In its own words: An act relating to certain practices of health benefit plan issuers to encourage the use of certain physicians and health care providers and rank physicians.

What is the status of SB926?

Signed into law as of June 20, 2025. Latest action: Effective on 9/1/25 (June 20, 2025).

Who sponsored SB926?

Kelly Hancock (R, SD-009), with 2 co-sponsors.

Where is the official record for SB926?

On the Texas Legislature website: https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB00926