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Bill

HB 4992

Relating to the inclusion of an exclusive dealing or tying clause in a health care provider network contract.

89th Legislature (2025) Introduced by Tom Oliverson and 1 co-sponsor

HB 4992 restricts exclusive dealing and tying clauses in Texas health care provider network contracts to enhance provider independence and market competition.

Referred to Insurance
#healthcareproviders(i0387) #insurance--health&accident(i0422)
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Bill Summary · HB 4992

Legislative bill overview

HB 4992 addresses contractual practices in health care provider networks, specifically concerning exclusive dealing and tying clauses. The bill appears to regulate or restrict how health care insurers and network operators can use contractual provisions that require providers to work exclusively with them or bundle services together.

Why is this important

Health care network contracts directly affect provider independence, patient access, and competition in the health care market. Restrictive contractual practices can limit which providers patients can see, reduce competition among insurers, and constrain provider autonomy—ultimately influencing healthcare costs and availability of services across Texas.

Potential points of contention

  • Provider vs. Insurer Interests: Insurers argue exclusive dealing and tying arrangements help them negotiate better rates and ensure quality control, while providers contend these clauses limit their business flexibility and earning potential
  • Patient Access Impact: Unclear whether restrictions improve or worsen patient choice; opponents may argue bundling arrangements actually streamline care coordination while supporters see them as anti-competitive
  • Regulatory Scope: Questions about whether state-level insurance regulation should override federal antitrust law or how this interacts with existing Texas Insurance Code provisions

Compiled from official sources — confirm details with the bill’s official record.

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