Health Maintenance Organizations - Payments to Nonparticipating Providers - Reimbursement Rate

Summary

The bill would change how health maintenance organizations (HMOs) reimburse doctors, hospitals and other providers who are not under contract with them. It sets minimum payment formulas based on Medicare rates, historic HMO rates, and the Medicare Economic Index. The measure also creates disclosure, audit and penalty provisions to enforce the new rates.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

Hearings

• Health — Bill Hearing
  Health · Feb 19, 2026

History

1. Feb 19, 2026Hearing canceled
2. Feb 19, 2026Hearing 2/19 at 1:30 p.m.
3. Feb 4, 2026Hearing 2/19 at 1:00 p.m.
4. Feb 3, 2026First Reading Health

Sponsors

• Hill · sponsor
• Kaufman
• Simmons

Bill text

Opens the legislature’s own copy.

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Topics

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