HB 4603

relating to eligibility for mediation of certain out-of-network
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1.  Section 1467.054(a), Insurance Code, is amended
(a)  Not later than the 90th day after the date an
out-of-network provider receives an initial payment for a health
care or medical service or supply, an [An] out-of-network provider
or a health benefit plan issuer or administrator may request
mandatory mediation under this subchapter.
SECTION 2.  (a) Not later than the 30th day after the
effective date of this Act, the commissioner of insurance shall
adopt rules necessary to implement the changes in law made by this
(b)  The changes in law made by this Act apply only to a
health care or medical service or supply provided on or after the
30th day after the effective date of this Act.  A health care or
medical service or supply provided before that date is governed by
the law in effect immediately before the effective date of this Act,
and that law is continued in effect for that purpose.
SECTION 3.  This Act takes effect immediately if it receives
a vote of two-thirds of all the members elected to each house, as
provided by Section 39, Article III, Texas Constitution.  If this
Act does not receive the vote necessary for immediate effect, this
Act takes effect September 1, 2025.