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HB 335

Relating to the payments and reimbursements for noncontracting and contracting provider dentists under certain health benefit plans.

89th Legislature (2025) Introduced by Philip Cortez

HB 335 establishes payment standards for in-network and out-of-network dentists under Texas health benefit plans to clarify reimbursement procedures and rates.

Withdrawn from schedule
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Bill Summary · HB 335

Legislative bill overview

HB 335 addresses payment and reimbursement mechanisms for both in-network (contracting) and out-of-network (noncontracting) dentists under health benefit plans in Texas. The bill aims to establish clearer standards for how dental providers are compensated under these plans, potentially including fee schedules, payment rates, or reimbursement procedures that apply differently based on provider network status.

Why is this important

Dental care costs significantly impact healthcare affordability for Texas residents, and payment disparities between network and non-network providers can influence patient access and provider participation in plans. Clear reimbursement standards can affect plan premiums, patient out-of-pocket costs, provider availability, and the sustainability of dental practices—particularly for smaller or rural practices.

Potential points of contention

  • Provider participation rates: Requirements or incentives for dentists to join networks could increase administrative burden on practices or create access gaps in underserved areas
  • Reimbursement rate adequacy: Establishing specific payment levels for noncontracting providers might either pressure insurers to increase payments (raising premiums) or limit patient choice if rates are deemed inadequate
  • Balance between plan costs and patient protections: Regulations protecting patients from excessive out-of-network charges could conflict with insurer cost-control objectives

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

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