1 | 1 | | 81R2884 JRJ-D |
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2 | 2 | | By: Truitt H.B. No. 1875 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to requiring a health benefit plan for enrollment at |
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8 | 8 | | certain public institutions of higher education. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Section 51.952, Education Code, is amended to |
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11 | 11 | | read as follows: |
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12 | 12 | | Sec. 51.952. STUDENT HEALTH BENEFIT PLAN REQUIRED FOR |
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13 | 13 | | ENROLLMENT [INSURANCE]. (a) In this section: |
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14 | 14 | | (1) "Health benefit plan" means any health benefit |
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15 | 15 | | plan regulated under the Insurance Code, including: |
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16 | 16 | | (A) an individual, group, or blanket health |
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17 | 17 | | insurance policy; or |
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18 | 18 | | (B) an evidence of coverage issued by a health |
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19 | 19 | | maintenance organization. |
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20 | 20 | | (2) "General academic teaching institution," "medical |
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21 | 21 | | and dental unit," and "university system" have the meanings |
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22 | 22 | | assigned by Section 61.003. |
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23 | 23 | | (b) This section applies only to a student who is enrolled |
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24 | 24 | | at a general academic teaching institution or medical and dental |
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25 | 25 | | unit on a full-time basis, as determined by the institution or unit |
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26 | 26 | | in accordance with criteria adopted by the institution or unit for |
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27 | 27 | | purposes of this section. |
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28 | 28 | | (c) Notwithstanding any other provision of this code and |
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29 | 29 | | except as provided by Subsection (g), to enroll at a general |
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30 | 30 | | academic teaching institution or medical and dental unit for a |
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31 | 31 | | semester or other academic term, a student must submit to the |
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32 | 32 | | institution or unit proof acceptable to the institution or unit |
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33 | 33 | | that the student will for that semester or term be covered by a |
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34 | 34 | | health benefit plan that meets minimum coverage standards and any |
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35 | 35 | | other requirement established by the institution or unit for |
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36 | 36 | | purposes of this subsection. |
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37 | 37 | | (d) A general academic teaching institution or medical and |
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38 | 38 | | dental unit may, directly or through the university system, if any, |
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39 | 39 | | of which the institution or unit is a component, provide to or |
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40 | 40 | | sponsor for one or more of the institution's or unit's students a |
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41 | 41 | | health benefit plan for purposes of this section. In addition to |
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42 | 42 | | any other fee or charge authorized or required by law, an |
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43 | 43 | | institution or unit that provides or sponsors a plan may impose on a |
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44 | 44 | | student enrolling in the plan a charge in an amount not to exceed |
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45 | 45 | | any cost to the institution or unit, including administrative |
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46 | 46 | | costs, in sponsoring or providing the plan in relation to that |
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47 | 47 | | student. |
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48 | 48 | | (e) In satisfying the requirement of Subsection (c), a |
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49 | 49 | | student may select coverage under a health benefit plan provided or |
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50 | 50 | | sponsored by the general academic teaching institution or medical |
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51 | 51 | | and dental unit at which the student intends to enroll or may obtain |
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52 | 52 | | coverage under a plan provided by another entity. |
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53 | 53 | | (f) On written request of a student, the general academic |
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54 | 54 | | teaching institution or medical and dental unit at which the |
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55 | 55 | | student intends to enroll shall provide for financial aid purposes |
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56 | 56 | | a reasonable estimate of the cost of the health benefit plan |
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57 | 57 | | coverage within the student's cost of education. As part of |
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58 | 58 | | financial aid provided to a student by the institution or unit, the |
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59 | 59 | | institution or unit may pay all or part of the student's cost for |
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60 | 60 | | the health benefit plan coverage required by this section. |
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61 | 61 | | (g) To provide a student with sufficient time to obtain |
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62 | 62 | | health benefit plan coverage, a general academic teaching |
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63 | 63 | | institution or medical and dental unit may provisionally enroll for |
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64 | 64 | | not more than one semester or other academic term a student who is |
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65 | 65 | | not covered by a health benefit plan as required by this section. |
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66 | 66 | | (h) Each general academic teaching institution or medical |
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67 | 67 | | and dental unit shall adopt policies and procedures the institution |
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68 | 68 | | or unit considers necessary to carry out this section. The policies |
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69 | 69 | | and procedures must establish: |
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70 | 70 | | (1) criteria for determining whether this section |
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71 | 71 | | applies to a particular student at the institution or unit; |
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72 | 72 | | (2) minimum coverage standards and any other |
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73 | 73 | | requirement for a health benefit plan required under this section, |
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74 | 74 | | regardless of whether the plan is provided or sponsored by the |
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75 | 75 | | institution or unit or another entity; |
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76 | 76 | | (3) the time allowed and manner required for a student |
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77 | 77 | | to submit to the institution or unit proof that the student will be |
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78 | 78 | | covered by a health benefit plan for the applicable semester or |
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79 | 79 | | other academic term; |
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80 | 80 | | (4) a time and manner for the institution or unit to: |
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81 | 81 | | (A) determine whether a student will for the |
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82 | 82 | | applicable semester or other academic term be covered by a health |
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83 | 83 | | benefit plan that meets minimum coverage standards and any other |
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84 | 84 | | requirement established by the institution or unit; and |
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85 | 85 | | (B) notify the student of that determination; and |
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86 | 86 | | (5) standards for the institution or unit to use in |
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87 | 87 | | determining whether proof of health benefit plan coverage submitted |
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88 | 88 | | by a student for purposes of Subsection (c) is acceptable. [The |
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89 | 89 | | governing board of a medical and dental unit may require a student |
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90 | 90 | | enrolled at a medical and dental unit to have in effect during the |
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91 | 91 | | calendar year of enrollment a health insurance policy for health |
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92 | 92 | | care services received by the student. |
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93 | 93 | | [(b) The governing board of a medical and dental unit shall |
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94 | 94 | | determine the minimum coverage standards for health insurance |
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95 | 95 | | required under this section. |
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96 | 96 | | [(c) If the student agrees in writing, the medical and |
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97 | 97 | | dental unit shall provide a reasonable estimate of the cost of the |
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98 | 98 | | health insurance coverage within the student's cost of education |
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99 | 99 | | for financial aid purposes. |
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100 | 100 | | [(d) If a governing board of a medical and dental unit |
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101 | 101 | | requires health insurance coverage for students under Subsection |
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102 | 102 | | (a), a student may be provisionally enrolled at the medical and |
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103 | 103 | | dental unit for one academic session without the coverage in order |
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104 | 104 | | to allow the student time to obtain the coverage. |
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105 | 105 | | [(e) The governing board of a medical and dental unit may |
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106 | 106 | | adopt such other rules and regulations as it determines necessary |
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107 | 107 | | to carry out the purposes of this section. |
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108 | 108 | | [(f) In this section, "governing board" and "medical and |
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109 | 109 | | dental unit" have the meanings assigned by Section 61.003.] |
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110 | 110 | | SECTION 2. The changes in law made by this Act apply to |
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111 | 111 | | enrollment of students at general academic teaching institutions or |
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112 | 112 | | medical and dental units beginning with the 2010 fall semester. |
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113 | 113 | | SECTION 3. This Act takes effect immediately if it receives |
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114 | 114 | | a vote of two-thirds of all the members elected to each house, as |
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115 | 115 | | provided by Section 39, Article III, Texas Constitution. If this |
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116 | 116 | | Act does not receive the vote necessary for immediate effect, this |
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117 | 117 | | Act takes effect September 1, 2009. |
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