Save the Date for Round Up
Be sure to mark your calendars for the 2018 Round Up, taking place September 24-26 in San Antonio, at the beautiful Hotel Emma in the historic Pearl District. A general schedule is posted. Please take note of a few changes this year - golfers will want to plan to arrive on September 23rd to play in the LIPAC Golf Tournament, which will start at 8 AM on Monday, September 24th at The Quarry Golf Course.

TALHI Board Nominations Open One More Week
As a reminder, TALHI is accepting nominations for the Board of Directors through April 27. You may self-nominate or nominate a fellow member. For more information on eligibility, criteria, and FAQs, click here. To submit a nomination, click here.

TDI Adopts Balance Billing Mediation Rule Update
The Commissioner of Insurance adopts amendments to 28 TAC Chapter 21, Subchapter PP, relating to Out-of-Network Claim Dispute Resolution.

As amended, Chapter 1467 provides for mediation of certain claims for services provided to enrollees of preferred provider benefit plans issued under Insurance Code Chapter 1301, and to enrollees of health benefit plans-other than health maintenance organization plans-provided under Insurance Code Chapters 1551 (the Texas Employees Group Benefits Act), 1575 (the Texas Public School Employees Group Benefits Program), and 1579 (the Texas School Employees Uniform Group Health Coverage).

Chapter 1467, as amended by SB 507, expands the types of providers whose bills are covered by the statute and authorizes an enrollee to request mediation of an out-of-network health benefit claim if the claim is for emergency care or health care or medical services or supplies provided by a facility-based provider in a facility that is a covered plan's preferred provider or that has a contract with the plan's administrator, for services provided on or after January 1, 2018.

Member Call May 2
Our next member call will be Wednesday, May 2, at 10 am Central. To call in, dial 1-888-537-7715 and enter code 200-68-174# when prompted. The agenda will be posted on both the website and mobile app prior to the call.

Calendar

April 27, 2018
Deadline for Board of Directors Nominations

May 2, 2018
TALHI Member Call, 10 am

September 24-26, 2018
TALHI Round Up, Hotel Emma, San Antonio

Jennifer Cawley
Executive Director
(512) 656-2850 (Mobile)
(512) 472-6886 (Office)