42 | | - | 2 04-07-2025 15:05:47 JMB128 |
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| 40 | + | 2 02/26/2025 8:24:42 AM JMB128 |
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| 41 | + | Republic of Korea, the Republic of Cuba, the Venezuelan regime of Nicolas 1 |
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| 42 | + | Maduro, or the Syrian Arab Republic, including any agent of or any other 2 |
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| 43 | + | entity under significant control of a foreign adversary or any other entity 3 |
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| 44 | + | deemed a foreign adversary by the Governor in consultation with the Attorney 4 |
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| 45 | + | General; 5 |
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| 46 | + | (2) "Genetic sequencer" means a device or platform used to 6 |
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| 47 | + | conduct genetic analysis, resequencing, isolation, or other genetic research; 7 |
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| 48 | + | (3) "Human genome" means deoxyribonucleic acid (DNA) or 8 |
---|
| 49 | + | ribonucleic acid (RNA) found in human cells; 9 |
---|
| 50 | + | (4) "Medical facility" means a facility for the delivery of 10 |
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| 51 | + | healthcare services that: 11 |
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| 52 | + | (A) Either: 12 |
---|
| 53 | + | (i) Receives state moneys, including interagency 13 |
---|
| 54 | + | pass-through appropriations from the United States Government; or 14 |
---|
| 55 | + | (ii) Is licensed, registered, or permitted in this 15 |
---|
| 56 | + | state to provide healthcare services; and 16 |
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| 57 | + | (B) Conducts research or testing on, with, or relating to 17 |
---|
| 58 | + | genetic analysis or the human genome; 18 |
---|
| 59 | + | (5) "Operational and research software" means computer programs 19 |
---|
| 60 | + | used for the operation, control, analysis, or other necessary functions of 20 |
---|
| 61 | + | genetic analysis or genetic sequencers; and 21 |
---|
| 62 | + | (6) "Research facility" means a facility that: 22 |
---|
| 63 | + | (A) Receives state moneys, including interagency pass -23 |
---|
| 64 | + | through appropriations from the United States Government; and 24 |
---|
| 65 | + | (B) Conducts research on, with, or relating to genetic 25 |
---|
| 66 | + | analysis or the human genome. 26 |
---|
| 67 | + | (b) A medical facility or research facility in this state shall not 27 |
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| 68 | + | utilize genetic sequencers or operational and research software used for 28 |
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| 69 | + | genetic analysis produced by a foreign adversary, a state -owned enterprise of 29 |
---|
| 70 | + | a foreign adversary, a company domiciled within a foreign adversary, or a 30 |
---|
| 71 | + | company-owned or company-controlled subsidiary of a company domiciled within 31 |
---|
| 72 | + | a foreign adversary for the purpose of conducting genetic analysis. 32 |
---|
| 73 | + | (c) All genetic sequencers and operational and research software used 33 |
---|
| 74 | + | for genetic sequencers prohibited under this section that are not permanently 34 |
---|
| 75 | + | disabled shall be removed and replaced with genetic sequencers and 35 |
---|
| 76 | + | operational and research software that is not prohibited under this section. 36 SB311 |
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| 78 | + | 3 02/26/2025 8:24:42 AM JMB128 |
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| 79 | + | (d) Subject to appropriation, a medical facility or research facility 1 |
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| 80 | + | in this state may request a reimbursement up to the cost of replacement of 2 |
---|
| 81 | + | the genetic sequencers and operational and research software prohibited under 3 |
---|
| 82 | + | this section from the state if the request includes purchase orders and is 4 |
---|
| 83 | + | submitted by October 1, 2025. 5 |
---|
| 84 | + | (e)(1) A medical facility, research facility, or other company or 6 |
---|
| 85 | + | entity shall store all genetic sequencing data in the geographic location of 7 |
---|
| 86 | + | the United States. 8 |
---|
| 87 | + | (2) Remote access to data storage, other than open data, from 9 |
---|
| 88 | + | outside the United States, is prohibited unless approved in writing by the 10 |
---|
| 89 | + | Department of Health. 11 |
---|
| 90 | + | (3) If a medical facility, research facility, or other company 12 |
---|
| 91 | + | or entity stores genetic sequencing data, including through contracts with a 13 |
---|
| 92 | + | third-party data storage company, the medical facility, research facility, or 14 |
---|
| 93 | + | other company or entity shall ensure the security of genetic sequencing data 15 |
---|
| 94 | + | using reasonable encryption methods, restrictions on access, and other 16 |
---|
| 95 | + | cybersecurity best practices. 17 |
---|
| 96 | + | (f) On or before December 31 of each year, a medical facility or 18 |
---|
| 97 | + | research facility shall certify in writing to the Attorney General and the 19 |
---|
| 98 | + | Department of Health that the medical facility or research facility is 20 |
---|
| 99 | + | complying with this section. 21 |
---|
| 100 | + | (g)(1) A person or entity determined to be in violation of this 22 |
---|
| 101 | + | section or found guilty of a violation of this section shall be subject to a 23 |
---|
| 102 | + | fine of ten thousand dollars ($10,000) per violation. 24 |
---|
| 103 | + | (2) Each unique instance of an individual’s genome having 25 |
---|
| 104 | + | undergone genetic sequencing or analysis using prohibited genetic sequencers 26 |
---|
| 105 | + | or prohibited operational and research software shall be considered a 27 |
---|
| 106 | + | separate violation. 28 |
---|
| 107 | + | (h)(1) Any person may notify the Attorney General of a violation or 29 |
---|
| 108 | + | potential violation of this section. 30 |
---|
| 109 | + | (2) If the person notifying the Attorney General is an employee 31 |
---|
| 110 | + | of the entity accused of a violation, the person shall be afforded all 32 |
---|
| 111 | + | protections of a whistleblower under the Arkansas Whistle -Blower Act, § 21-1-33 |
---|
| 112 | + | 601 et seq. 34 |
---|
| 113 | + | (3) If the person notifying the Attorney General is a patient or 35 |
---|
| 114 | + | research subject of an entity found guilty of a violation of this section and 36 SB311 |
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45 | | - | (2) "Genetic sequencer" means a device or platform used to 1 |
---|
46 | | - | conduct genetic analysis, resequencing, isolation, or other genetic research; 2 |
---|
47 | | - | (3) "Human genome" means deoxyribonucleic acid (DNA) or 3 |
---|
48 | | - | ribonucleic acid (RNA) found in human cells; 4 |
---|
49 | | - | (4) "Medical facility" means a facility for the delivery of 5 |
---|
50 | | - | healthcare services that: 6 |
---|
51 | | - | (A) Either: 7 |
---|
52 | | - | (i) Receives state moneys, including interagency 8 |
---|
53 | | - | pass-through appropriations from the United States Government; or 9 |
---|
54 | | - | (ii) Is licensed, registered, or permitted in this 10 |
---|
55 | | - | state to provide healthcare services; and 11 |
---|
56 | | - | (B) Conducts research or testing on, with, or relating to 12 |
---|
57 | | - | genetic analysis or the human genome; 13 |
---|
58 | | - | (5) "Operational and research software" means computer programs 14 |
---|
59 | | - | used for the operation, control, analysis, or other necessary functions of 15 |
---|
60 | | - | genetic analysis or genetic sequencers; and 16 |
---|
61 | | - | (6) "Research facility" means a facility that: 17 |
---|
62 | | - | (A) Receives state moneys, including interagency pass -18 |
---|
63 | | - | through appropriations from the United States Government; and 19 |
---|
64 | | - | (B) Conducts research on, with, or relating to genetic 20 |
---|
65 | | - | analysis or the human genome. 21 |
---|
66 | | - | (b) Beginning on October 1, 2025, a medical facility or research 22 |
---|
67 | | - | facility in this state shall not put into service within this state any new 23 |
---|
68 | | - | or additional genetic sequencers or operational and research software used 24 |
---|
69 | | - | for genetic analysis produced by a foreign adversary, a state -owned 25 |
---|
70 | | - | enterprise of a foreign adversary, a company domiciled within a foreign 26 |
---|
71 | | - | adversary, or a company -owned or company-controlled subsidiary of a company 27 |
---|
72 | | - | domiciled within a foreign adversary for the purpose of conducting genetic 28 |
---|
73 | | - | analysis. 29 |
---|
74 | | - | (c) A medical facility or research facility in this state shall report 30 |
---|
75 | | - | in writing to the Secretary of the Department of Health on all instances of 31 |
---|
76 | | - | ongoing usage of genetic sequencers and operational and research software 32 |
---|
77 | | - | used for genetic sequencers produced by a foreign adversary, a state -owned 33 |
---|
78 | | - | enterprise of a foreign adversary, a company domiciled within a foreign 34 |
---|
79 | | - | adversary, or a company -owned or company-controlled subsidiary of a company 35 |
---|
80 | | - | domiciled within a foreign adversary on January 1 of each year until the 36 As Engrossed: S4/7/25 SB311 |
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| 116 | + | 4 02/26/2025 8:24:42 AM JMB128 |
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| 117 | + | the person’s genetic information was used in the violation, the person shall 1 |
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| 118 | + | be entitled to recover statutory damages of not less than ten thousand 2 |
---|
| 119 | + | dollars ($10,000) for each unique use of his or her genomic information in 3 |
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| 120 | + | violation of this section. 4 |
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| 121 | + | (4) The Attorney General shall investigate allegations of 5 |
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| 122 | + | violations of this section. 6 |
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| 123 | + | 7 |
---|
| 124 | + | SECTION 3. Arkansas Code Title 23, Chapter 79, Subchapter 1, is 8 |
---|
| 125 | + | amended to add an additional section to read as follows: 9 |
---|
| 126 | + | 23-79-169. Insurance coverage of certain human organ transplant or 10 |
---|
| 127 | + | post-transplant care prohibited — Definitions. 11 |
---|
| 128 | + | (a) As used in this section: 12 |
---|
| 129 | + | (1) "Forced organ harvesting" means the removal of one (1) or 13 |
---|
| 130 | + | more organs from a living person, or from a person killed for the purpose of 14 |
---|
| 131 | + | removal of one (1) or more organs, by means of coercion, abduction, 15 |
---|
| 132 | + | deception, fraud, or abuse of power over a position of vulnerability; 16 |
---|
| 133 | + | (2)(A) "Health benefit plan" means: 17 |
---|
| 134 | + | (i) An individual, blanket, or group plan, policy, 18 |
---|
| 135 | + | or contract for healthcare services issued, renewed, or extended in this 19 |
---|
| 136 | + | state by a healthcare insurer, health maintenance organization, hospital 20 |
---|
| 137 | + | medical service corporation, or self -insured governmental or church plan in 21 |
---|
| 138 | + | this state; and 22 |
---|
| 139 | + | (ii) Any health benefit program receiving state or 23 |
---|
| 140 | + | federal appropriations from the State of Arkansas, including the Arkansas 24 |
---|
| 141 | + | Medicaid Program and the Arkansas Health and Opportunity for Me Program 25 |
---|
| 142 | + | established by the Arkansas Health and Opportunity for Me Act of 2021, § 23 -26 |
---|
| 143 | + | 61-1001 et seq. 27 |
---|
| 144 | + | (B) "Health benefit plan" includes without limitation 28 |
---|
| 145 | + | indemnity and managed care plans. 29 |
---|
| 146 | + | (C) "Health benefit plan" does not include: 30 |
---|
| 147 | + | (i) A plan that provides only dental benefits or eye 31 |
---|
| 148 | + | and vision care benefits; 32 |
---|
| 149 | + | (ii) A disability income plan; 33 |
---|
| 150 | + | (iii) A credit insurance plan; 34 |
---|
| 151 | + | (iv) Insurance coverage issued as a supplement to 35 |
---|
| 152 | + | liability insurance; 36 SB311 |
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82 | | - | 3 04-07-2025 15:05:47 JMB128 |
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| 154 | + | 5 02/26/2025 8:24:42 AM JMB128 |
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| 155 | + | (v) Medical payments under an automobile or 1 |
---|
| 156 | + | homeowners insurance plan; 2 |
---|
| 157 | + | (vi) A health benefit plan provided under Arkansas 3 |
---|
| 158 | + | Constitution, Article 5, § 32, the Workers' Compensation Law, § 11 -9-101 et 4 |
---|
| 159 | + | seq., or the Public Employee Workers' Compensation Act, § 21 -5-601 et seq.; 5 |
---|
| 160 | + | (vii) A plan that provides only indemnity for 6 |
---|
| 161 | + | hospital confinement; 7 |
---|
| 162 | + | (viii) An accident-only plan; 8 |
---|
| 163 | + | (ix) A specified disease plan; or 9 |
---|
| 164 | + | (x) Plans providing health benefits to state and 10 |
---|
| 165 | + | public school employees under § 21 -5-401 et seq.; and 11 |
---|
| 166 | + | (3)(A) "Healthcare insurer" means any insurance company, 12 |
---|
| 167 | + | hospital and medical service corporation, or health maintenance organization 13 |
---|
| 168 | + | that issues or delivers health benefit plans in this state and is subject to 14 |
---|
| 169 | + | any of the following laws: 15 |
---|
| 170 | + | (i) The insurance laws of this state; 16 |
---|
| 171 | + | (ii) Section 23-75-101 et seq., pertaining to 17 |
---|
| 172 | + | hospital and medical service corporations; or 18 |
---|
| 173 | + | (iii) Section 23-76-101 et seq., pertaining to 19 |
---|
| 174 | + | health maintenance organizations. 20 |
---|
| 175 | + | (B) "Healthcare insurer" does not include an entity that 21 |
---|
| 176 | + | provides only dental benefits or eye and vision care benefits. 22 |
---|
| 177 | + | (b) A health benefit plan that is offered, issued, or renewed in this 23 |
---|
| 178 | + | state shall not provide coverage for a human organ transplant or post -24 |
---|
| 179 | + | transplant care if: 25 |
---|
| 180 | + | (1) The transplant operation is performed in the People's 26 |
---|
| 181 | + | Republic of China or another country known to have participated in forced 27 |
---|
| 182 | + | organ harvesting, as designated by rule by the Insurance Commissioner; or 28 |
---|
| 183 | + | (2) The human organ to be transplanted is procured by sale or 29 |
---|
| 184 | + | donation originating in the People's Republic of China or another country 30 |
---|
| 185 | + | known to have participated in forced organ harvesting, as designated by rule 31 |
---|
| 186 | + | by the commissioner. 32 |
---|
| 187 | + | (c)(1) The commissioner may designate by rule any additional country 33 |
---|
| 188 | + | as having participated in forced organ harvesting if the government of that 34 |
---|
| 189 | + | country funds, sponsors, or otherwise facilitates forced organ harvesting. 35 |
---|
| 190 | + | (2) If under subdivision (c)(1) of this section the commissioner 36 SB311 |
---|
84 | | - | |
---|
85 | | - | equipment is no longer in use. 1 |
---|
86 | | - | (d)(1) A medical facility, research facility, or other company or 2 |
---|
87 | | - | entity shall store all genetic sequencing data outside of foreign adversary 3 |
---|
88 | | - | countries. 4 |
---|
89 | | - | (2) Remote access to data storage, other than open data, from 5 |
---|
90 | | - | foreign adversary countries is prohibited. 6 |
---|
91 | | - | (3) If a medical facility, research facility, or other company 7 |
---|
92 | | - | or entity stores genetic sequencing data, including through contracts with a 8 |
---|
93 | | - | third-party data storage company, the medical facility, research facility, or 9 |
---|
94 | | - | other company or entity shall ensure the security of genetic sequencing data 10 |
---|
95 | | - | using reasonable encryption methods, restrictions on access, and other 11 |
---|
96 | | - | cybersecurity best practices. 12 |
---|
97 | | - | (e) On or before December 31 of each year, a medical facility or 13 |
---|
98 | | - | research facility shall certify in writing to the Attorney General and the 14 |
---|
99 | | - | Department of Health that the medical facility or research facility is 15 |
---|
100 | | - | complying with this section. 16 |
---|
101 | | - | (f)(1) A person or entity determined to be in violation of this 17 |
---|
102 | | - | section or found guilty of a violation of this section shall be subject to a 18 |
---|
103 | | - | fine of ten thousand dollars ($10,000) per violation. 19 |
---|
104 | | - | (2) Each unique instance of an individual’s genome having 20 |
---|
105 | | - | undergone genetic sequencing or analysis using prohibited genetic sequencers 21 |
---|
106 | | - | or prohibited operational and research software shall be considered a 22 |
---|
107 | | - | separate violation. 23 |
---|
108 | | - | (g)(1) Any person may notify the Attorney General of a violation or 24 |
---|
109 | | - | potential violation of this section. 25 |
---|
110 | | - | (2) If the person notifying the Attorney General is an employee 26 |
---|
111 | | - | of the entity accused of a violation, the person shall be afforded all 27 |
---|
112 | | - | protections of a whistleblower under the Arkansas Whistle -Blower Act, § 21-1-28 |
---|
113 | | - | 601 et seq. 29 |
---|
114 | | - | (3) If the person notifying the Attorney General is a patient or 30 |
---|
115 | | - | research subject of an entity found guilty of a violation of this section and 31 |
---|
116 | | - | the person's genetic information was used in violation of this section, the 32 |
---|
117 | | - | entity shall also be found to have violated the Deceptive Trade Practices 33 |
---|
118 | | - | Act, § 4-88-101 et seq. 34 |
---|
119 | | - | (4) The Attorney General may investigate allegations of 35 |
---|
120 | | - | violations of this section. 36 As Engrossed: S4/7/25 SB311 |
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121 | | - | |
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122 | | - | 4 04-07-2025 15:05:47 JMB128 |
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123 | | - | |
---|
124 | | - | |
---|
125 | | - | 1 |
---|
126 | | - | SECTION 3. Arkansas Code Title 23, Chapter 79, Subchapter 1, is 2 |
---|
127 | | - | amended to add an additional section to read as follows: 3 |
---|
128 | | - | 23-79-169. Insurance coverage of certain human organ transplant or 4 |
---|
129 | | - | post-transplant care prohibited — Definitions. 5 |
---|
130 | | - | (a) As used in this section: 6 |
---|
131 | | - | (1) "Forced organ harvesting" means the removal of one (1) or 7 |
---|
132 | | - | more organs from a living person, or from a person killed for the purpose of 8 |
---|
133 | | - | removal of one (1) or more organs, by means of coercion, abduction, 9 |
---|
134 | | - | deception, fraud, or abuse of power over a position of vulnerability; 10 |
---|
135 | | - | (2)(A) "Health benefit plan" means: 11 |
---|
136 | | - | (i) An individual, blanket, or group plan, policy, 12 |
---|
137 | | - | or contract for healthcare services issued, renewed, or extended in this 13 |
---|
138 | | - | state by a healthcare insurer, health maintenance organization, hospital 14 |
---|
139 | | - | medical service corporation, or self -insured governmental or church plan in 15 |
---|
140 | | - | this state; and 16 |
---|
141 | | - | (ii) Any health benefit program receiving state or 17 |
---|
142 | | - | federal appropriations from the State of Arkansas, including the Arkansas 18 |
---|
143 | | - | Medicaid Program and the Arkansas Health and Opportunity for Me Program 19 |
---|
144 | | - | established by the Arkansas Health and Opportunity for Me Act of 2021, § 23 -20 |
---|
145 | | - | 61-1001 et seq. 21 |
---|
146 | | - | (B) "Health benefit plan" includes without limitation 22 |
---|
147 | | - | indemnity and managed care plans. 23 |
---|
148 | | - | (C) "Health benefit plan" does not include: 24 |
---|
149 | | - | (i) A plan that provides only dental benefits or eye 25 |
---|
150 | | - | and vision care benefits; 26 |
---|
151 | | - | (ii) A disability income plan; 27 |
---|
152 | | - | (iii) A credit insurance plan; 28 |
---|
153 | | - | (iv) Insurance coverage issued as a supplement to 29 |
---|
154 | | - | liability insurance; 30 |
---|
155 | | - | (v) Medical payments under an automobile or 31 |
---|
156 | | - | homeowners insurance plan; 32 |
---|
157 | | - | (vi) A health benefit plan provided under Arkansas 33 |
---|
158 | | - | Constitution, Article 5, § 32, the Workers' Compensation Law, § 11 -9-101 et 34 |
---|
159 | | - | seq., or the Public Employee Workers' Compensation Act, § 21 -5-601 et seq.; 35 |
---|
160 | | - | (vii) A plan that provides only indemnity for 36 As Engrossed: S4/7/25 SB311 |
---|
161 | | - | |
---|
162 | | - | 5 04-07-2025 15:05:47 JMB128 |
---|
163 | | - | |
---|
164 | | - | |
---|
165 | | - | hospital confinement; 1 |
---|
166 | | - | (viii) An accident-only plan; 2 |
---|
167 | | - | (ix) A specified disease plan; or 3 |
---|
168 | | - | (x) Plans providing health benefits to state and 4 |
---|
169 | | - | public school employees under § 21 -5-401 et seq.; and 5 |
---|
170 | | - | (3)(A) "Healthcare insurer" means any insurance company, 6 |
---|
171 | | - | hospital and medical service corporation, or health maintenance organization 7 |
---|
172 | | - | that issues or delivers health benefit plans in this state and is subject to 8 |
---|
173 | | - | any of the following laws: 9 |
---|
174 | | - | (i) The insurance laws of this state; 10 |
---|
175 | | - | (ii) Section 23-75-101 et seq., pertaining to 11 |
---|
176 | | - | hospital and medical service corporations; or 12 |
---|
177 | | - | (iii) Section 23-76-101 et seq., pertaining to 13 |
---|
178 | | - | health maintenance organizations. 14 |
---|
179 | | - | (B) "Healthcare insurer" does not include an entity that 15 |
---|
180 | | - | provides only dental benefits or eye and vision care benefits. 16 |
---|
181 | | - | (b) Regardless of a claim filed by a medical facility or provider, a 17 |
---|
182 | | - | health benefit plan that is offered, issued, or renewed in this state shall 18 |
---|
183 | | - | not provide coverage for a human organ transplant or post -transplant care if: 19 |
---|
184 | | - | (1) The transplant operation is performed in the People's 20 |
---|
185 | | - | Republic of China or another country known to have participated in forced 21 |
---|
186 | | - | organ harvesting, as designated by rule by the Insurance Commissioner; or 22 |
---|
187 | | - | (2) The human organ to be transplanted is procured by sale or 23 |
---|
188 | | - | donation originating in the People's Republic of China or another country 24 |
---|
189 | | - | known to have participated in forced organ harvesting, as designated by rule 25 |
---|
190 | | - | by the commissioner. 26 |
---|
191 | | - | (c)(1) The commissioner may designate by rule any additional country 27 |
---|
192 | | - | as having participated in forced organ harvesting if the government of that 28 |
---|
193 | | - | country funds, sponsors, or otherwise facilitates forced organ harvesting. 29 |
---|
194 | | - | (2) If under subdivision (c)(1) of this section the commissioner 30 |
---|
195 | | - | designates an additional country as having participated in forced organ 31 |
---|
196 | | - | harvesting, the commissioner shall provide written notice to healthcare 32 |
---|
197 | | - | insurers. 33 |
---|
198 | | - | (d) A healthcare insurer may seek reimbursement or setoff from a 34 |
---|
199 | | - | medical facility or provider if a claim is submitted and paid in violation of 35 |
---|
200 | | - | this section. 36 As Engrossed: S4/7/25 SB311 |
---|
201 | | - | |
---|
202 | | - | 6 04-07-2025 15:05:47 JMB128 |
---|
203 | | - | |
---|
204 | | - | |
---|
205 | | - | (e) Notwithstanding any other provision of this section, care that is 1 |
---|
206 | | - | provided to save the life of an individual after the individual receives a 2 |
---|
207 | | - | prohibited organ transplant shall be covered. 3 |
---|
208 | | - | (f) The commissioner shall develop and promulgate rules for the 4 |
---|
| 192 | + | 6 02/26/2025 8:24:42 AM JMB128 |
---|
| 193 | + | designates an additional country as having participated in forced organ 1 |
---|
| 194 | + | harvesting, the commissioner shall provide written notice to healthcare 2 |
---|
| 195 | + | insurers. 3 |
---|
| 196 | + | (d) The commissioner shall develop and promulgate rules for the 4 |
---|