82R54 JSC-D By: Laubenberg H.J.R. No. 30 A JOINT RESOLUTION proposing a constitutional amendment authorizing certain payment for health care services and prohibiting requiring participation in a health care system. BE IT RESOLVED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Article III, Texas Constitution, is amended by adding Section 68 to read as follows: Sec. 68. (a) In this section: (1) "Direct payment" means payment for health care services provided to an individual or a dependent of the individual that is made by the individual or by the individual's employer, without a public or private third party, other than the employer, paying for any portion of the service. (2) "Health care system" means any public or private entity, including a health insurer or health benefit plan, that for the benefit of its participants: (A) manages, enrolls individuals in, or makes full or partial payment for health care services; or (B) manages or processes health care data or information. (b) This state, an agency of this state, or a health care system may not: (1) impose a fine or penalty on an individual or the individual's employer for direct payment for a health care service; (2) impose a fine or penalty on a health care provider for accepting direct payment for a health care service; or (3) directly or indirectly require an individual, employer, or health care provider to participate in a health care system, including imposing a fine or penalty for failure to participate. (c) This section does not: (1) affect which health care services a health care provider or hospital is required to provide; (2) affect which health care services are permitted by law; (3) prohibit care provided pursuant to a workers' compensation claim; (4) affect a law or rule in effect January 1, 2010; or (5) affect the terms or conditions of a health care system that do not: (A) impose a fine or penalty on an individual or the individual's employer for direct payment for a health care service; or (B) impose a fine or penalty on a health care provider for accepting direct payment for a health care service. SECTION 2. This proposed constitutional amendment shall be submitted to the voters at an election to be held November 8, 2011. The ballot shall be printed to permit voting for or against the proposition: "A constitutional amendment authorizing certain payment for health care services and prohibiting requiring participation in a health care system."