HBA-NRS H.B. 2831 77(R) BILL ANALYSIS Office of House Bill AnalysisH.B. 2831 By: Smithee Insurance 3/25/2001 Introduced BACKGROUND AND PURPOSE Current law does not require a managed care entity to provide a health care provider with a description of the standards used by the managed care entity to determine the amount of reimbursement that an out-ofnetwork provider may receive for goods and services provided to an enrollee in the entity's managed care plan. House Bill 2831 requires a managed care entity to provide, upon request of a health care provider, a written description of the reimbursement standards. RULEMAKING AUTHORITY It is the opinion of the Office of House Bill Analysis that rulemaking authority is expressly delegated to the commissioner of insurance in SECTION 1 (Section 3, Article 21.60, Insurance Code) of this bill. ANALYSIS House Bill 2831 amends the Insurance Code to require a managed care entity to provide, on the request of a health care provider, the written description of the standards used by the managed care entity to determine the amount of reimbursement that an out-of-network provider is authorized to receive for goods or services provided to an enrollee in the entity's managed care plan. The bill requires the commissioner of insurance to adopt rules as necessary to implement these reimbursement guidelines used by a managed care entity. EFFECTIVE DATE September 1, 2001.