Bill > HB428

This bill modifies the requirements for identification cards issued by health maintenance organizations (HMOs) and preferred provider organizations (PPOs) in Texas. It mandates that HMO identification cards must now display the "HMO" acronym in a location of the organization's choosing, and include a clear disclaimer that having an HMO card does not guarantee discounted rates or fee discounts when using out-of-network providers. Similarly, PPO identification cards must display the "PPO" acronym and include a disclaimer that the card does not ensure access to discounted rates or fee discounts for out-of-network medical services. The bill specifies that these new requirements will only apply to identification cards issued on or after January 1, 2026, and the act itself will take effect on September 1, 2025. The primary purpose of these changes appears to be increasing transparency for patients by explicitly highlighting the potential limitations of their health coverage network on their identification cards.

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https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB428