Monitoring the Session

HB 2616

bill lets insurers share provider networks by contract

Died in committee

Verdict: No flags

No flagsInitial review
Rep. Tom OliversonRHouse 130

Initial review · graded Oct 20, 2026 · Headline, summary and grade are analysis of the bill text, not a finding about any person · How we grade

Caption

relating to the use of certain compensation arrangements in contracts between certain health benefit plan issuers for the provision of health care services to insureds and enrollees.

Caption from analyzed text · version I.

Summary

Pay per service, share risk, or pay per member.

The bill lets insurance companies and HMOs sign contracts with each other so one company's doctors and other providers can serve the other company's members. The companies can pay each other per service, by sharing risk, by a fixed payment per member, or by a mix of these. The doctors and other providers who actually treat patients under these deals must still be paid per service, starting September 1, 2025.

Labels

Labels: NEVER GOT A HEARING. Filed Feb 10, 2025 and referred to the House Insurance committee. No public hearing. The bill died.

Receipt

The receipt

89R-HB2616 · 2025-02-10

SOLD BY

ITEM

relating to the use of certain compensation arrangements in contracts between certain health benefit plan issuers for the provision of health care services to insureds and enrollees.

WHAT IT DOES

Pay per service, share risk, or pay per member.

The bill lets insurance companies and HMOs sign contracts with each other so one company's doctors and other providers can serve the other company's members. The companies can pay each other per service, by sharing risk, by a fixed payment per member, or by a mix of these. The doctors and other providers who actually treat patients under these deals must still be paid per service, starting September 1, 2025.

CHARGES

[ ] NONE FOUND

TOTAL

No fiscal note in the loaded record.

HISTORY

  1. Filed
  2. Read first time
  3. Referred to Insurance
FILED UNDER

No verified beat found.

No flags

THANK YOU FOR CHECKING THE RECEIPT

CAMPAIGN PAID FOR BY

CAMPAIGN PAID FOR BY

Donors

Donors report through Friends of Tom Oliverson.

Not tied to this bill.

Sources

The author's campaign account only. Own money and internal transfers are separate on the member page.

Derived itemized flow · Oct 27, 2024 to Oct 24, 2026. State data as of Nov 4, 2026.

Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.

Money

Missing data does not establish zero giving. Display amounts are rounded.

Votes

No floor vote loaded for this bill.

Fiscal

No fiscal note in the loaded record.

How this was graded

Analysis of text version I by claude-opus-5-5, Oct 20, 2026, against the published rubric.

Sources

Texas House · Filed Feb 10, 2025

03/18/2025 H Referred to Insurance: Mar 18 2025 11:56AM

Texas Legislature Online · Introduced

Data snapshot Oct 26, 2026 at 4:20 AM CDT. Grades, charges, quotes and corrections follow the published record.

House committee · Insurance · Final status: Died in committee

Subjects

Health Care Providers

Insurance--Health & Accident

Text

The text as introduced · 354 words

89R7913 DNC-F

By: Oliverson
H.B. No. 2616

A BILL TO BE ENTITLED

AN ACT

relating to the use of certain compensation arrangements in

contracts between certain health benefit plan issuers for the

provision of health care services to insureds and enrollees.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

SECTION 1. Chapter 1451, Insurance Code, is amended by

adding Subchapter L to read as follows:

SUBCHAPTER L. ACCESS TO PRACTITIONERS THROUGH CERTAIN COMPENSATION

ARRANGEMENTS BETWEEN PLAN ISSUERS

Sec. 1451.551. DEFINITIONS. In this subchapter:

(1) "Health benefit plan" means an accident and health

insurance policy or a health maintenance organization health care

plan.

(2) "Health care practitioner" means a practitioner

listed in Section 1451.001.

Sec. 1451.552. APPLICABILITY OF SUBCHAPTER. This

subchapter applies only to the following health benefit plan

issuers:

(1) an accident and health insurance company operating

under Chapter 841 or 982; or

(2) a health maintenance organization operating under

Chapter 843.

Sec. 1451.553. CERTAIN COMPENSATION ARRANGEMENTS

AUTHORIZED. A health benefit plan issuer to which this subchapter

applies may enter into a contract with another health benefit plan

issuer to which this subchapter applies under which:

(1) access to the services of health care

practitioners will be provided by or through one of the contracting

issuers to insureds or enrollees of the other contracting issuer;

and

(2) compensation for access to those services is

under:

(A) a fee-for-service arrangement;

(B) a risk-sharing arrangement;

(C) a capitation arrangement under which a fixed

predetermined payment is made in exchange for the provision of, or

for the arrangement to provide and the guaranty of the provision of,

a contractually defined set of covered services to insureds or

enrollees for a specified period without regard to the quantity of

services actually provided; or

(D) any combination of arrangements described by

Paragraphs (A) through (C).

Sec. 1451.554. COMPENSATION OF PRACTITIONERS. Any

compensation arrangement in a contract described by Section

1451.553 is limited to the arrangement between the contracting

health benefit plan issuers. Payment of health care practitioners

providing services pursuant to the contract is limited to

fee-for-service.

SECTION 2. This Act takes effect September 1, 2025.