1 | 1 | | 81R16585 JSC-F |
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2 | 2 | | By: Gonzalez Toureilles H.B. No. 2581 |
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3 | 3 | | Substitute the following for H.B. No. 2581: |
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4 | 4 | | By: Kolkhorst C.S.H.B. No. 2581 |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to the access to certain information or consideration for |
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10 | 10 | | a discount health care program or a discount health care program |
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11 | 11 | | operator. |
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12 | 12 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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13 | 13 | | SECTION 1. Sections 76.001(3) and (4), Health and Safety |
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14 | 14 | | Code, are amended to read as follows: |
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15 | 15 | | (3) "Discount health care program" means a business |
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16 | 16 | | arrangement or contract in which an entity, in exchange for fees, |
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17 | 17 | | dues, charges, or other consideration, including access to patient |
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18 | 18 | | information, access to patient prescription drug histories, or drug |
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19 | 19 | | manufacturer rebates, offers its members access to discounts on |
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20 | 20 | | health care services provided by health care providers. The term |
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21 | 21 | | does not include an insurance policy, certificate of coverage, or |
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22 | 22 | | other product regulated by the Texas Department of Insurance or a |
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23 | 23 | | self-funded or self-insured employee benefit plan. |
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24 | 24 | | (4) "Discount health care program operator" means a |
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25 | 25 | | person who, in exchange for fees, dues, charges, or other |
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26 | 26 | | consideration, including access to patient information, access to |
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27 | 27 | | patient prescription drug histories, or drug manufacturer rebates, |
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28 | 28 | | operates a discount health care program and contracts with |
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29 | 29 | | providers, provider networks, or other discount health care program |
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30 | 30 | | operators to offer access to health care services at a discount and |
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31 | 31 | | determines the charge to members. |
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32 | 32 | | SECTION 2. Section 76.053, Health and Safety Code, is |
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33 | 33 | | amended by adding Subsection (a-1) and amending Subsection (b) to |
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34 | 34 | | read as follows: |
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35 | 35 | | (a-1) A program operator shall, before enrollment, provide |
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36 | 36 | | each prospective member disclosure materials containing the |
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37 | 37 | | program operator's policy regarding access to patient information |
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38 | 38 | | or patient prescription drug histories, including whether the |
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39 | 39 | | program operator engages in the transfer or sale of a member's |
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40 | 40 | | patient information or patient prescription drug history. |
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41 | 41 | | (b) A marketer shall use disclosure materials that comply |
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42 | 42 | | with this section [Subsection (a)]. |
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43 | 43 | | SECTION 3. This Act takes effect September 1, 2009. |
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