| 1 | 1 | | 81R2558 TJS-D |
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| 2 | 2 | | By: Anchia H.B. No. 532 |
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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 the preexisting condition exclusion period under the |
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| 8 | 8 | | Texas Health Insurance Risk Pool. |
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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 1506.155(a), Insurance Code, is amended |
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| 11 | 11 | | to read as follows: |
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| 12 | 12 | | (a) Except as provided by this section and Section 1506.056, |
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| 13 | 13 | | pool coverage excludes charges or expenses incurred before the |
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| 14 | 14 | | expiration of 90 days from [first anniversary of] the effective |
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| 15 | 15 | | date of coverage with regard to any condition for which: |
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| 16 | 16 | | (1) the existence of symptoms would cause an |
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| 17 | 17 | | ordinarily prudent person to seek diagnosis, care, or treatment |
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| 18 | 18 | | within the six-month period preceding the effective date of |
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| 19 | 19 | | coverage; or |
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| 20 | 20 | | (2) medical advice, care, or treatment was recommended |
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| 21 | 21 | | or received during the six-month period preceding the effective |
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| 22 | 22 | | date of coverage. |
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| 23 | 23 | | SECTION 2. This Act applies only to an application for |
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| 24 | 24 | | coverage under the Texas Health Insurance Risk Pool that is filed |
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| 25 | 25 | | with the pool on or after the effective date of this Act. An |
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| 26 | 26 | | application filed before the effective date of this Act is governed |
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| 27 | 27 | | by the law in effect on the date the application was filed, and that |
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| 28 | 28 | | law is continued in effect for that purpose. |
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| 29 | 29 | | SECTION 3. This Act takes effect immediately if it receives |
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| 30 | 30 | | a vote of two-thirds of all the members elected to each house, as |
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| 31 | 31 | | provided by Section 39, Article III, Texas Constitution. If this |
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| 32 | 32 | | Act does not receive the vote necessary for immediate effect, this |
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| 33 | 33 | | Act takes effect September 1, 2009. |
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