Texas 2023 - 88th Regular

Texas House Bill HB290

Filed
11/14/22  
Out of House Committee
3/30/23  
Voted on by House
4/26/23  
Out of Senate Committee
5/8/23  
Voted on by Senate
5/10/23  
Governor Action
5/23/23  

Caption

Relating to multiple employer welfare arrangements.

Impact

The enactment of HB 290 is expected to increase the availability of health insurance options for small businesses in Texas, providing them with a collective bargaining power that was previously limited. This bill responds particularly to concerns among small employers about the rising costs of health care. Additionally, the focus on protecting the vulnerable population of elderly Texans is underscored by provisions that punish long-term care facilities that wrongfully confiscate federally allocated funds, thereby safeguarding the financial interests of residents in these facilities.

Summary

House Bill 290 seeks to modernize and expand the framework for Multiple Employer Welfare Arrangements (MEWAs) in Texas, allowing small businesses and sole proprietorships to band together for better health care coverage options. The bill addresses existing restrictions that hinder accessibility for certain trade groups and permits self-employed individuals to qualify as both an employer and employee under these arrangements. By enhancing the applicability of existing insurance laws to these MEWAs, the bill aims to provide a structured pathway for groups to negotiate health insurance that is more affordable and tailored to their needs.

Sentiment

The sentiment surrounding HB 290 is largely positive among proponents, who view it as a vital step towards improving healthcare access for small businesses and supporting the elderly. The collaborative approach to health insurance is praised for fostering inclusivity and providing necessary support to community members who may struggle with affording healthcare coverage. However, critics may point out concerns regarding the underlying implications on regulatory oversight and the thoroughness of protections guaranteed under such arrangements, although these seem to be minor points in the overall legislative support.

Contention

Key points of contention around HB 290 revolve primarily around the accountability of long-term care facilities and the extent to which the bill adequately protects the rights of elderly residents in these establishments. Additionally, there are discussions about ensuring that the broader insurance landscape remains equitable and accessible for all, minimizing the risk that new arrangements might inadvertently disadvantage smaller or less organized businesses. Nonetheless, the joint effort to provide regulations and support suggests a collaborative effort for balanced development.

Texas Constitutional Statutes Affected

Insurance Code

  • Chapter 846. Multiple Employer Welfare Arrangements
    • Section: 0035
    • Section: 052
    • Section: 053
    • Section: 0035
    • Section: 052
    • Section: 053
    • Section: 0035
    • Section: 052
    • Section: 053
    • Section: 0035
    • Section: 052
    • Section: 053
    • Section: 0035
  • Chapter 421. Reserves In General
    • Section: New Section
    • Section: New Section
  • Chapter 422. Asset Protection Act
    • Section: New Section
    • Section: New Section
  • Chapter 1451. Access To Certain Practitioners And Facilities
    • Section: New Section
    • Section: New Section
  • Chapter 4201. Utilization Review Agents
    • Section: New Section
    • Section: New Section
  • Chapter 1301. Preferred Provider Benefit Plans
    • Section: New Section
    • Section: New Section
  • Chapter 1467. Out-of-network Claim Dispute Resolution
    • Section: New Section
    • Section: New Section

Companion Bills

TX SB1307

Identical Relating to multiple employer welfare arrangements.

Similar Bills

No similar bills found.