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New Federal Rules Limit Short-Term Insurance Plans, Enhance Protections - 04/17/2024

Following advocacy by the Texas Medical Association, the U.S. departments of Health and Human Services, Labor, and the Treasury recently issued final rules that strengthen consumer protections related to short term, limited duration insurance.

TMA Pushes for Prior Authorization Limits, Clarity - 04/16/2024

After hearing story after story of delays and denials, the Texas Medical Association is pushing the Texas Legislature to sign off on measures that would significantly curb insurers’ ability to require prior authorization on needed care, as well as clarify for both physicians and patients what it means when prior authorization is required.

Cigna Launches Digital Newsroom for Payer Updates - 04/12/2024

Physicians and practice staff looking for updates from one of Texas’ major payers, Cigna Healthcare, can now refer to the company’s new digital newsroom.

TMA Moment in Time: First Tuesdays at the Capitol - 04/09/2024

TMA’s signature advocacy event offers invaluable facetime with lawmakers.

TMA Moment in Time: Texas' First PPO Rules - 04/09/2024

TMA fought to ensure fair regulation of PPOs, which now dominate the health plan market.

TMA to IRS: Direct Primary Care, Health Care-Sharing Ministries Aren’t Insurance - 04/05/2024

The Texas Medical Association is urging the IRS to reconsider a proposed rule that would classify direct primary care (DPC) arrangements and health care-sharing ministries (HSMs) as insurance.

TMA Sues Feds Over Unfair Rule for Surprise Billing Law - 03/22/2024

The Texas Medical Association filed a lawsuit in federal district court in Tyler, Texas, after the Biden administration failed to follow clear direction from Congress about how to implement the dispute resolution process set forth in the No Surprises Act, legislation that was passed in 2020 to protect patients from surprise medical bills.

TDI Proposed Rules for State Network Adequacy Law Raise Strong Concerns - 03/20/2024

After securing network adequacy reform during the 2023 regular state legislative session, the Texas Medical Association has shifted its focus to ensuring the Texas Department of Insurance’s network adequacy rules conform to the plain language and intent of the law.

Power Data: Texas' Claims Database Will Help Clarify Care Costs - 03/15/2024

Texas is building an all-payer claims database, which will provide a clearer view of opaque health care costs.

You Write Scripts? You Better Sign Up With the PMP - 02/28/2024

If you don't yet have a user account set up with the state's prescription monitoring program (PMP), known as PMP Aware, now is a good time to get it done.

New Law Prohibits Employer COVID-19 Vaccine Mandates, With Exceptions - 02/28/2024

Thanks to advocacy by the Texas Medical Association, guardrails for patient safety and practice viability are included in a new state law that prohibits employers, including physician offices and health care facilities, from mandating COVID-19 vaccines among employees.

Grassroots Physician Advocacy Fuels Early TEXPAC Win - 02/16/2024

Looking to build on the victory, TMA’s bipartisan political arm has endorsed a long list of medicine-friendly candidates, informed by local physician support and its own rigorous evaluation process. The Texas primary election is on March 5. Read more.

Governor Approves Bill to Reduce Prior Authorization Hassles - 02/14/2024

Care for countless Texas patients will happen more quickly by reducing health insurers’ bureaucratic delays, thanks to a bill Gov. Greg Abbott allowed to become law this weekend. The Texas Medical Association  prioritized curbing health insurers’ onerous prior authorization practices this legislative session, resulting in passage of House Bill 3459 by Rep. Greg Bonnen, MD (R-Friendswood), and Sen. Dawn Buckingham, MD (R-Lakeway), with considerable support by Sen. Jane Nelson (R-Flower Mound).

Patient Care Protected: TMA Secured Big Legislative Wins With a New Strategy - 01/11/2024

Guided by a set of priorities and girded by grassroots physician advocacy, the Texas Medical Association entered the 2023 legislative session with a laser focused approach and came out hitting targets in every area of medicine’s agenda.

Safety in Statute: State Law Guides Violence Prevention in Health Care - 01/05/2024

A new state law guides violence prevention plans in health care.  

Closing the Gap: New Texas Network Adequacy Law Tackles Waivers - 12/04/2023

Although Texas has some of the strongest network adequacy rules in the country, poor enforcement and an overused waiver system have weakened physician practice viability and patients’ access to in-network care; thanks to advocacy by the Texas Medical Association, this will soon change.

First Tuesdays at the Capitol Was a Virtual Success - 11/30/2023

Almost 200 physicians, medical students, and alliance advocates logged on to Zoom for the first-ever virtual First Tuesdays at the Capitol on Tuesday, which featured an in-depth briefing on TMA’s legislative agenda for this session.

TMA, Lawmakers Working to Tackle Telemedicine Parity, Prior Authorization - 11/30/2023

As one of the most unique eras of both living and lawmaking continues, attendees at TMA’s Winter Conference heard about medicine’s legislative agenda in both Austin and Washington, D.C., and how COVID-19 has helped shape this year’s legislative focus.

Comprehensive Prior Authorization Reforms Needed, Medicine Tells Feds - 11/30/2023

As the Centers for Medicare & Medicaid Services (CMS) seeks ways to relieve the burdens of prior authorization on health care, it should not rely solely on automation of electronic health records. Instead, CMS should seek comprehensive reforms that include transparent PA requirements and protections of continuity of care as well as automation, the Texas Medical Association, American Medical Association, and a host of other medical societies wrote in a letter to CMS Administrator Seema Verma last week.

First Steps: TMA Secures Medicaid Physician Rate Increases With Hopes for Momentum - 11/05/2023

TMA helped secure the first Medicaid physician rate increases in decades in hopes it will build momentum for future gains.

All You Need to Do Is RSVP: Alliance Leader Opens Invitation to Medical Advocacy - 10/26/2023

TMA Alliance leader Jenny Shepherd’s open invitation to medical advocacy is an award-winning approach

Texas' Broadband Boom: An Influx of Funds Could Turbocharge Telehealth Access - 10/18/2023

The federal government recently granted Texas $3.3 billion – the largest award of any U.S. state – to deploy and upgrade broadband networks, critical to ensuring access to telehealth care.

Impact of TMA’s Legislative Wins for Practices Addressed at Business of Medicine - 10/10/2023

Rounding out a weekend of business meetings and educational sessions aimed at navigating modern health care challenges, the Texas Medical Association’s inaugural Business of Medicine conference concluded with the tradition of an update of medicine’s hard-fought wins during the legislative session and what those wins mean for the practice of medicine.

Putting the AI in Paid: Payer Use of Artificial Intelligence Sparks Physician Concerns - 10/02/2023

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.

State Law Banning Refusal of Care to Certain Unvaccinated Patients Takes Effect - 09/26/2023

Starting Sept. 1, a new state law prohibits clinicians caring for patients enrolled in Medicaid or the Children’s Health Insurance Program (CHIP) to refuse health care services based on their vaccination status.