HB515 —

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

This bill amends 1 section(s) of the Texas statutes: Section 1455.001(1), Insurance Code.

• Section 1455.001(1), Insurance Code

  or → , including a mental health professional, ; or (D) an individual who is credentialed to provide qualified mental health professional community services, has demonstrated and documented competency in the work to be performed, and: (i) holds a bachelor's or more advanced degree from an accredited institution of higher education with a minimum number of hours that is equivalent to a major in psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, physician assistant studies, gerontology, special education, educational psychology, early childhood education, or early childhood intervention; (ii) is a registered nurse; or (iii) completes an alternative credentialing process identified by the Department of State Health Services

  amended

• Sec. 1455.007. REIMBURSEMENT AND PAYMENT. (a) A health benefit plan issuer must reimburse a preferred or contracted health professional for providing a covered health care service or procedure to a covered patient as a telemedicine medical service or telehealth service on the same basis and at least at the same rate that the issuer provides reimbursement to that health professional for the service or procedure in an in-person setting. (b) Notwithstanding Subsection (a), a health benefit plan issuer is not required to pay more than the billed charge on a claim for payment by a preferred or contracted health professional. (c) For purposes of processing payment of a claim, a health benefit plan issuer may not require a preferred or contracted health professional to provide documentation of a covered health care service or procedure delivered by the health professional to a covered patient as a telemedicine medical service or telehealth service beyond that which is required for the service or procedure in an in-person setting. Sec. 1455.008. WAIVER PROHIBITED. The provisions of this chapter may not be waived, voided, or nullified by contract.

  amended