August 12, 2025
On June 20, 2025, Gov. Abbott signed SB 2544 into law. The law established a 180-day deadline for out-of-network providers and health plan issuers or administrators to request mediation in a balance billing dispute. Under Texas law, out-of-network providers must follow a mediation process established by the Texas Department of Insurance (TDI) to resolve billing disputes with plans regulated by the state (or self-insured plans that opted into the process). The law imposes this requirement on fully insured plans regulated in the state. The requirements outlined in the law took effect immediately.
Employers with fully insured plans regulated by the state (or self-insured plans that opted into the process) should be aware of this change.
Read more on SB 2544 Relating to Eligibility for Medication of Certain Out-of-Network Claims.
PPI Benefit Solutions does not provide legal or tax advice. Compliance, regulatory and related content is for general informational purposes and is not guaranteed to be accurate or complete. You should consult an attorney or tax professional regarding the application or potential implications of laws, regulations or policies to your specific circumstances.
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