Texas Senate Bill 2544

Texas Tightens the Clock on Out-of-Network Disputes

Providers have just 180 days to dispute out-of-network payments. Are you ready?

Texas Senate Bill 2544 (SB 2544) rewrites the rules for out-of-network revenue recovery, introducing strict filing deadlines. If you’re not moving fast, you could be leaving dollars behind. We’ll ensure you don’t.

  • What SB 2544 Means for You

    Effective June 20, 2025, SB 2544 changes the clock on your ability to recover out-of-network revenue. Providers, administrators, and health plans now face a firm 180-day deadline to initiate mandatory mediation after receiving an initial payment. Claims outside this window are no longer eligible.

    If you’re managing older claims, there’s a limited 120-day grace period. After that, the door closes for good.

  • Key Takeaways from SB 2544

    Mediation Deadline
    Now requires all mediation requests be filed within 180 days from receipt of initial payment.

    Transition Rule
    Claims for services before June 20, 2025, remain eligible for mediation if filed within 120 days of enactment, or October 20, 2025.

    Immediate Effect
    Signed into law on June 20, 2025. This ruling is already in effect.

  • Why it Matters

    SB 2544 aligns Texas timelines more closely with federal arbitration rules. Its goal? Prevent old claims from being considered, reduce delays, and promote faster resolution. That’s great for regulators, but for providers, it introduces real risk.

    Failing to meet the new statutory deadlines will forfeit the right to dispute, bring civil action and with it, the opportunity to recover eligible revenue. Overlooking this shift could result in a substantial loss of revenue.

How We Can Help

McClure’s experts work alongside your team to:

  • Identify all claims eligible under the new rules

  • File complete and timely mediation requests

  • Support the process from start to finish

  • Ensure compliance with the revised Texas Law

When policy has the potential to affect profit, we do more than check the box. We build strategies that protect your bottom line.

Don’t Let Revenue Slip Away

SB 2544 was designed to close the door on old claims. We’re here to ensure eligible disputes get in before that door shuts.

A Partner You Can Trust

Let’s discuss how you can chart a direct course to improve financial performance with McClure Health Solutions.