HB 2616
bill lets insurers share provider networks by contract
Died in committee
Verdict: No flags
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
- Filed
- Read first time
- Referred to Insurance
FILED UNDER
No verified beat found.
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.
MoneyMissing 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.