1 | 1 | | 81R8682 ALB-F |
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2 | 2 | | By: Nichols S.B. No. 1170 |
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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 health care services provided or paid by a hospital |
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8 | 8 | | district or public hospital. |
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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 61.066, Health and Safety Code, is |
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11 | 11 | | amended by adding Subsection (c) to read as follows: |
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12 | 12 | | (c) A hospital district may recover an amount equal to the |
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13 | 13 | | value of any fraudulently obtained health care services provided to |
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14 | 14 | | a person disqualified under this section. |
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15 | 15 | | SECTION 2. Subchapter C, Chapter 61, Health and Safety |
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16 | 16 | | Code, is amended by adding Section 61.067 to read as follows: |
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17 | 17 | | Sec. 61.067. SUBROGATION. (a) The filing of an |
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18 | 18 | | application for or receipt of health care services provided or paid |
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19 | 19 | | for by a hospital district or public hospital constitutes an |
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20 | 20 | | assignment of the applicant's or recipient's right of recovery |
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21 | 21 | | from: |
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22 | 22 | | (1) personal insurance; |
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23 | 23 | | (2) other sources; or |
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24 | 24 | | (3) another person for personal injury caused by the |
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25 | 25 | | other person's negligence or wrong. |
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26 | 26 | | (b) A person who applies for or receives health care |
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27 | 27 | | services shall inform the hospital district or public hospital, at |
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28 | 28 | | the time of application or at any time during eligibility for |
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29 | 29 | | services, of: |
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30 | 30 | | (1) any unsettled tort claim that may affect medical |
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31 | 31 | | needs; |
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32 | 32 | | (2) any private accident or health insurance coverage |
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33 | 33 | | that is or may become available; and |
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34 | 34 | | (3) any injury that is caused by the act or failure to |
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35 | 35 | | act of some other person. |
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36 | 36 | | (c) An applicant or eligible resident shall inform the |
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37 | 37 | | hospital district or public hospital of information required by |
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38 | 38 | | Subsection (b) within 10 days of the date the person learns of the |
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39 | 39 | | person's insurance coverage, tort claim, or potential cause of |
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40 | 40 | | action. |
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41 | 41 | | (d) A claim for damages for personal injury does not |
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42 | 42 | | constitute grounds for denying or discontinuing services under this |
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43 | 43 | | chapter. |
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44 | 44 | | (e) A separate and distinct cause of action is created in |
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45 | 45 | | favor of the hospital district or public hospital, and the hospital |
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46 | 46 | | district or public hospital may, with the approval of the board of |
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47 | 47 | | directors or managers, take direct civil action in any court of |
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48 | 48 | | competent jurisdiction. A suit brought under this section does not |
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49 | 49 | | need to be ancillary to or dependent on any other action. |
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50 | 50 | | (f) The hospital district's or public hospital's right of |
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51 | 51 | | recovery under this section is limited to the amount of the cost of |
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52 | 52 | | services paid by the hospital district or public hospital. Other |
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53 | 53 | | subrogation rights granted under this section are limited to the |
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54 | 54 | | cost of the services provided by the hospital district or public |
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55 | 55 | | hospital. |
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56 | 56 | | (g) An applicant or eligible resident who knowingly and |
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57 | 57 | | intentionally fails to disclose the information required by |
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58 | 58 | | Subsection (b) is subject to denial of services under Section |
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59 | 59 | | 61.066 following an administrative hearing. |
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60 | 60 | | (h) Procedures established by a hospital district or public |
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61 | 61 | | hospital for administrative hearings under this section shall |
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62 | 62 | | provide for appropriate due process, including procedures for |
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63 | 63 | | appeals. |
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64 | 64 | | SECTION 3. This Act applies only to the filing of an |
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65 | 65 | | application for services or receipt of services as described by |
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66 | 66 | | Section 61.067, Health and Safety Code, as added by this Act, on or |
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67 | 67 | | after the effective date of this Act. The filing of an application |
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68 | 68 | | for services or receipt of services before the effective date of |
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69 | 69 | | this Act is governed by the law in effect on the date of filing or |
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70 | 70 | | receipt of services, and the prior law is continued in effect for |
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71 | 71 | | that purpose. |
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72 | 72 | | SECTION 4. This Act takes effect September 1, 2009. |
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