SB1550 —

Compared against the Texas statutes as published AI-generated reading aid — verify against the official bill.

This bill amends 2 section(s) of the Texas statutes: Section 1451.205, Insurance Code, Section 1451.206(a), Insurance Code.

• Section 1451.205, Insurance Code

  (a) (b) A person or entity who provides or issues an employee benefit plan or health insurance policy or the employer or employee organization, if applicable, shall establish an Internet website to provide resources and information to dentists, insureds, participants, employees, and members. (c) An employee benefit plan or health insurance policy shall make accessible on the Internet website established under Subsection (b) information about the plan or policy sufficient for patients and dentists to determine the type of dental care services covered by the plan or policy and the amount of the payment or reimbursement available for those services under the plan or policy. Access to the Internet website must be at no charge to patients under the plan or policy and dentists providing dental care services to the patients.

  amended

• Section 1451.206(a), Insurance Code

  (1) and (2) → : (1) (A) (B) ; and (C) one or more methods of payment or reimbursement that provide the dentist 100 percent of the contracted amount of the payment or reimbursement and that do not require the dentist to incur a fee to access the payment or reimbursement; and (2) disclose on the Internet website required under Section 1451.205 and on request of a dentist or a party to or beneficiary of the plan or policy the fees, if any, associated with the methods of payment or reimbursement available under the plan or policy

  amended

• or → ; or (5) deduct the amount of an overpayment of a claim from a payment or reimbursement of another claim unless both claims were for dental services provided to the same patient by the same dentist An employee benefit plan or health insurance policy that provides a written predetermination of benefits to a dentist with respect to a dental care service for a patient that includes a specific benefit payment or reimbursement amount may not pay or reimburse the dentist for providing that service to the patient in an amount that is less than the amount set forth in the predetermination.

  amended