Bill > HB1642

This bill establishes an expedited credentialing process for chiropractors joining an established professional practice that already has a contract with a managed care plan. Under this legislation, a chiropractor can be treated as a participating provider during the credentialing process if they are licensed in Texas and in good standing with the Texas Board of Chiropractic Examiners, submit all required documentation, and agree to comply with the plan's provider contract. While the credentialing is pending, the chiropractor can collect copayments and receive payments from the managed care plan as if they were already a network provider. If the chiropractor ultimately fails to meet the plan's credentialing requirements, the plan can recover the difference between in-network and out-of-network benefit payments, but the chiropractor can keep copayments already collected. Importantly, enrollees (patients) are protected and will not be responsible for any additional charges or payment differences. The bill also limits the managed care plan issuer's liability for damages related to these interim payments. The provisions will take effect on September 1, 2025, and are designed to streamline the process of adding new chiropractors to managed care networks while protecting both providers and patients.

Business and Industry

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB1642