HB 2616 Texas House · 89th Legislature (2025)

Relating to the use of certain compensation arrangements in contracts between certain health benefit plan issuers for the provision of health care services to insureds and enrollees.

HB 2616 allows health insurance companies (operating under Chapters 841 or 982) and health maintenance organizations (HMOs under Chapter 843) to enter contracts with each other using specific payment models for accessing healthcare services. The bill authorizes these contracts to use fee-for-service, risk-sharing, capitation (a fixed payment for a defined set of services), or combinations of these arrangements between insurers. However, it explicitly requires that healthcare practitioners providing services under these contracts must still be paid on a fee-for-service basis, not through the alternative models. The law applies only to contracts between qualifying health benefit plan issuers and takes effect September 1, 2025.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 18, 2025 Last action Mar 18, 2025
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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Mar 18, 2025
Committee
Referred to Insurance
lower
Mar 18, 2025
Introduced
Read first time
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Tom Oliverson
Tom Oliverson
RRepublican
TX
130