SB 267 Texas Senate · 89th Legislature (2025)

Relating to unconditional designation of physicians as participating providers in a managed care plan.

SB 267 requires Texas managed care plans to unconditionally accept any physician who applies to join their provider network, meaning plans cannot deny such applications. The bill mandates that these plans reimburse participating physicians at 90% of the highest contracted rate for the same service. It applies to specific health benefit plans, including Medicaid managed care, basic coverage plans, and child health programs, and takes effect on January 1, 2026. This policy directly affects physicians seeking network participation and managed care plans' contracting and reimbursement practices.
Bill status in committee 1 of 4 stages cleared
Introduction
Nov 2024
Committee Review
Floor Vote
Governor
Introduced Nov 12, 2024 Last action Feb 3, 2025
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Full legislative history

Actions timeline

Total actions
4
Key actions
0
Committee
1
Feb 3, 2025
Committee
Referred to Health & Human Services
upper
Feb 3, 2025
Introduced
Read first time
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Charles Perry
Charles Perry
RRepublican
TX
28