Texas HB 633, if passed during this year’s legislative session, will provide broad application for Cash Pay Centric Health Plans, a growing market phenomenon. Cash pay health plans are the future of health care finance.
DIRECT PAYMENT OF PHYSICIAN OR HEALTH CARE PROVIDER
Sec. 1204.303. PAYMENT IN LIEU OF CLAIM FOR BENEFITS; OTHER
DIRECT PAYMENTS. (a) A physician or health care provider may not
be prohibited from accepting directly from an enrollee full payment
for a health care service in lieu of submitting a claim to the
enrollee’s health benefit plan.
(b) Notwithstanding Section 552.003 or any other law, the
charge for a health care service for which a physician or health
care provider accepts a payment as described by Subsection (a) or
from a patient without a health benefit plan may not exceed the
lowest contract rate for the health care service allowable under
any health benefit plan with respect to which the physician or
health care provider is a contracted, preferred, or participating