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Thursday, April 24, 2025

Tom Oliverson introduced HB 4681 in Texas House — here’s what you need to know

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Tom J. Oliverson, Texas State Representative of 130th District (R) | https://www.facebook.com/TomOliverson

Tom J. Oliverson, Texas State Representative of 130th District (R) | https://www.facebook.com/TomOliverson

Rep. Tom Oliverson introduced HB 4681, a bill on Insurance, to the Texas House on Thursday, April 3 during the 89(R) legislative session, according to the Texas Legislature website.

More specifically, the official text was summarized by the state legislature as ’’Relating to disclosures of preauthorization requirements and explanations of benefits for medical and health care services and supplies covered by health maintenance organizations and preferred provider benefit plans; imposing administrative penalties’’.

The following is our breakdown, based on the actual bill text, and may include interpretation to clarify its provisions.

This bill mandates health maintenance organizations (HMOs) and insurers to provide clear, written explanations of benefits for healthcare services received, detailing services and codes used, including denial codes. It requires displaying preauthorization requirements prominently on websites without barriers like account setups or the need for personal information. The bill stipulates preauthorization process details, including descriptions, effective dates, and statistics of approvals and denials. HMO and insurer websites must be updated by Jan. 1, 2026, and compliance checks involve submitting corrective plans for violations, with penalties based on company revenue and violation duration. New requirements and amendments take effect on a business day, with major provisions enforced starting Jan. 1, 2026. The bill becomes effective Sept. 1, 2025.

Tom Oliverson, member of the House Committee on Redistricting, proposed another 33 bills during the 89(R) legislative session.

Tom Oliverson is currently serving in the Texas State House, representing the state's 130th House district. He replaced previous state representative Allen Fletcher in 2017.

Bills in Texas go through a multi-step legislative process, including committee review, debates, and votes in both chambers before reaching a final decision. Each session, there are typically thousands of bills introduced, but only a portion successfully navigate the process to become law.

You can read more about the bills and other measures here.

Other Recent Bills Introduced by Rep. Tom Oliverson in Texas House During 89(R) Legislative Session

Bill NumberDate IntroducedShort Description
HB 485204/03/2025Relating to examination of the records of filing entities and foreign filing entities by the attorney general; creating a criminal offense
HB 455604/03/2025Relating to automobile insurance rating plan consequences for traffic violation charges or convictions
HB 454804/03/2025Relating to assessment and reporting requirements regarding safety and security in public schools
HB 454704/03/2025Relating to certain actions by a state agency that burden certain constitutional rights of an applicant for or holder of an occupational license
HB 454504/03/2025Relating to access to land managed by the Parks and Wildlife Department from adjacent privately owned land; authorizing a fee
HB 453304/03/2025Relating to the reimbursement of prescription drugs under Medicaid and the child health plan program
HB 453204/03/2025Relating to an endorsement for roof replacements to comply with certain standards for residential property insurance
HB 180504/02/2025Relating to the creation of the Religious Freedom Commission
HB 410003/27/2025Relating to prohibited retaliation against a physician or health care provider for reporting certain violations or taking certain actions with respect to the provision of health care services; providing a civil remedy
HB 394203/27/2025Relating to health benefit coverage for general anesthesia in connection with certain pediatric dental services
HB 384503/26/2025Relating to the regulation of certain compensation, contracting, employment, and performance criteria in connection with utilization review of health benefits
HB 381803/26/2025Relating to the extension of groundwater reduction target years established by the Harris-Galveston Subsidence District
HB 381703/26/2025Relating to creating the criminal offense of gender identity fraud
HB 370803/26/2025Relating to charity care provided by certain health care facilities
HB 349603/24/2025Relating to the authority of the Texas Department of Insurance to publish and maintain a list of certain ready-to-swim programs
HB 341403/21/2025Relating to preferred provider benefit plan out-of-pocket expense credits for payments made by an insured directly to a physician providing direct primary care
HB 332103/21/2025Relating to certain health care entity or system transaction fees and payment claims; providing administrative and civil penalties
HB 308603/20/2025Relating to requirements for pharmaceutical drug manufacturers to report prescription drug costs
HB 294603/19/2025Relating to the provision of nutrition support services to Medicaid recipients in lieu of other state Medicaid plan services and a report on the health outcomes of providing those services
HB 281903/19/2025Relating to the licensing and regulation of outpatient behavioral health centers; authorizing civil and administrative penalties; imposing fees
HB 281603/19/2025Relating to protection of the rights of conscience of persons from providing and health care facilities from offering certain health care services; providing a civil remedy; authorizing disciplinary action
HB 261603/18/2025Relating to the use of certain compensation arrangements in contracts between certain health benefit plan issuers for the provision of health care services to insureds and enrollees
HB 223003/14/2025Relating to including an understanding of certain political ideologies in the foundation curriculum in public schools
HB 186903/14/2025Relating to an alternate board certification to signify accreditation within a given specialty in this state and medical care provided at certain health care facilities by physicians with an alternate board certification
HB 168503/12/2025Relating to the licensing and regulation of physician graduates and the authority of an insured to select a physician graduate under the insured's health insurance policy; requiring an occupational license; authorizing fees
HB 164303/12/2025Relating to the authority of the Harris-Galveston Subsidence District over the North Harris County Regional Water Authority
HB 163603/12/2025Relating to designating certain substances as Schedule IV controlled substances under the Texas Controlled Substances Act
HB 114303/07/2025Relating to the establishment of a memorial monument dedicated to unborn children on the Capitol grounds
HB 114003/07/2025Relating to prohibiting a registered sex offender from residing within a certain distance of a public primary or secondary school
HB 113903/07/2025Relating to venue in certain actions involving a contract for an improvement to real property
HB 113403/07/2025Relating to the prohibited maintenance of certain vaccine exemption records by the Department of State Health Services
HB 113203/07/2025Relating to an alternate license to practice medicine in this state and medical care provided at certain health care facilities by physicians with an alternate license
HB 113103/07/2025Relating to the repeal of provisions authorizing certain taxing units in the year following the year in which a disaster occurs to adopt an ad valorem tax rate that exceeds the voter-approval tax rate without holding an election to approve the adopted tax rate; making conforming changes

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