145.038 Minimum Standards for Interstate Sale of Health Insurance Products: The Texas Medical Association supports, at a minimum, the following standards related to interstate sale of health insurance products sold in Texas, should such a policy be approved at the federal level: (1) products with in-network/out-of-network distinctions must meet Texas network adequacy standards; (2) products must adhere to Texas prompt pay requirements; (3) each company or HMO must meet minimum financial solvency standards required in Texas; and (4) the jurisdiction for all legal challenges is determined by the location where the care is given. TMA will seek establishment of minimum federal standards that do not weaken any states’ requirements on network adequacy, tort, and other insurance plan regulations (Res. 405-A-17).
Last Updated On
August 14, 2018