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Key Issues - 03/11/2025

At the heart of TMA's agenda for the 2025 Texas legislative session is protecting the practice of medicine and the patient-physician relationship.

Prior Authorization Fuels Physician Burnout, Decreases Access to Care, AMA Survey Finds - 03/10/2025

Prior authorization continues to intensify physician burnout, increase health care costs, and limit patients’ access to care, per AMA. Meanwhile, TMA advocates against health plans’ use of artificial intelligence in the prior auth process and aims to reduce its burden on physicians.

‘This Day Is Huge’: Medicine Doubles Down on Health Care Access Advocacy on First Tuesday - 03/06/2025

TMA’s signature advocacy event, founded by the TMA Alliance, continues to connect physicians, medical students, and the alliance with lawmakers to shepherd the association’s legislative priorities to fruition.

TMA Testifies to Block AI Use in Prior Auth, Support Health of Young and Aging Texans - 03/05/2025

Physicians made the rounds in the Texas Senate, providing testimony to prohibit unfair prior authorization practices, launch a new dementia care institute, and keep the growing populations of kids and seniors healthy.

BCBSTX Reprocessing Flu Testing Claims Following Incorrect Denials - 03/03/2025

Blue Cross and Blue Shield of Texas (BCBSTX) is reprocessing certain claims filed between Jan. 1 and Feb. 13, the payer told TMA’s Physician Payment Resource Center. Physicians should continue to review claims to ensure they are correctly reprocessed.

TDI Eases Prior Authorization Request Process for Prescription Renewals - 02/28/2025

After a three-year effort, the Texas Medical Association recently secured a form change that allows physicians to bypass the most onerous part of prior authorization requests when renewing an existing prescription.

TMA Welcomes State Budget Provisions for Medicine, Healthy Living Legislation - 02/27/2025

TMA physicians weighed in on the state budget, applauding appropriations supporting medicine and urging additional funding, and advocating for a Texas Senate bill aiming to make Texans healthier.

TMA Calls for Increased Funding to Help TMB Address Workforce Issues - 02/21/2025

TMA President G. Ray Callas, MD, advocated for Texas Medical Board (TMB) funding, citing record numbers of physician license applications. Plus, learn the Texas House committee assignments that may influence medicine’s legislative agenda. Read more.

TMA Seeks Prior Authorization Reform This Legislative Session - 02/13/2025

The Texas Medical Association (TMA) seeks to cut health insurers’ burdensome delays and denials of patients’ care this legislative session.

Aetna Reverses NPP Payment Reduction Under Incident-To Billing - 02/12/2025

Aetna previously intended to pay nonphysician practitioners (NPPs) 85% of the allowable amount, regardless of whether they billed directly or “incident-to” a physician’s diagnosis and treatment. Meanwhile, the payer upholds a new credentialing requirement.

More Than One in Five Claims Denied in Texas by Non-Group Qualified Health Plans - 02/11/2025

A study of health plans available through HealthCare.gov in 2023 shows one in five claims nationwide were denied – with Texas ranking among the top five states for in-network denials.

Scope Bills, Budget Gains Mark Start of 2025 Legislative Session - 02/10/2025

Capping off a robust week of advocacy, TMA is now targeting a pair of scope of practice infringement bills, as well as tracking other measures to advance prior authorization reform and boost funding for the state’s medical education, public health, and safety net programs.

Physicians Rally Around TMA Legislative Priorities at Inaugural Virtual Event - 01/15/2025

With the curtain rising on the 2025 legislative session rising Jan. 14, TMA leaders detailed to attendees how its top 10 legislative priorities tie into physicians’ needs across the state, and how to help advocate at the Capitol on medicine’s most pressing issues in similar upcoming TMA events.

Teens Vulnerable to Social Media Harm, Exploitation, TMA Tells Legislators - 01/14/2025

 TMA presented data on how unfettered access to social media imperils youth. Medicine proposes new protections to safeguard kids as they navigate a digital terrain rife with the risk of manipulation and exploitation.    

Landmark Antitrust Settlement in BCBS Case Granted Preliminary Approval - 01/09/2025

Physicians can now file a claim in a $2.8 billion settlement fund given preliminary approval by a U.S. District Court involving Blue Cross Blue Shield. The final verdict is expected in July.

TMA’s Top Legislative Priorities: Guarding Against Scope of Practice Expansion - 01/06/2025

TMA is working to grow the physician workforce and preserve physician-led health care in Texas.

TMA’s Top Legislative Priorities: Striking the Right Balance on Noncompete Agreements - 01/06/2025

TMA endorses a noncompete agreement policy protecting both employee and employer physicians.

TMA’s Top Legislative Priorities: Protect Medicine from Corporate Influence - 01/06/2025

TMA continues its work to keep nonmedical entities and corporate influences from interfering with physicians.

TMA’s Top Legislative Priorities: Improve Women’s Health and Clarify Abortion Exceptions - 01/06/2025

The Texas Medical Association made big strides last session, securing a hard-won waiver extending Medicaid postpartum coverage to one year and expanding access to other women’s health care through the Healthy Texas Women (HTW) and Family Planning Program, for instance.

TMA’s Top Legislative Priorities: Seeking Prior Authorization Reform - 01/06/2025

In 2025, TMA will advocate for improvements to a landmark prior authorization bill and address burdensome Medicaid practices.

TMA’s Top Legislative Priorities: Protect Immunizations to Protect Public Health - 01/06/2025

TMA will work to safeguard immunizations this legislative session.

Six Ways to Get Involved in TMA Advocacy - 01/03/2025

There are many ways Texas Medical Association members can get involved with advocacy. We highlight six avenues for members to help.

TMA’s Top Legislative Priorities: Enhance Medicaid Payments and Coverage - 12/31/2024

TMA will work to enhance Medicaid payments and coverage this legislative session

Putting the AI in Paid: Payer Use of Artificial Intelligence Sparks Physician Concerns - 12/20/2024

Physicians - worried about payers' increasing use of artificial intelligence to process prior authorization requests, enable value-based care models, and systematically deny coverage - are seeking transparency on behalf of their patients and practices.

I Never Knew TMA: Did So Much Legislative Work - 12/16/2024

The Texas Medical Association's legislative agenda protects the patient-physician relationship from interference.