Texas 2011 - 82nd Regular

Texas Senate Bill SB120 Compare Versions

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11 By: Uresti S.B. No. 120
22 (Lozano)
33
44
55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to requiring dental support for a child subject to a child
88 support order.
99 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1010 SECTION 1. Subsection (e), Section 54.06, Family Code, is
1111 amended to read as follows:
1212 (e) The court shall apply the child support guidelines under
1313 Subchapter C, Chapter 154, in an order requiring the payment of
1414 child support under this section. The court shall also require in
1515 an order to pay child support under this section that health
1616 insurance and dental insurance be provided for the child.
1717 Subchapter D, Chapter 154, applies to an order requiring health
1818 insurance and dental insurance for a child under this section.
1919 SECTION 2. Section 101.006, Family Code, is amended to read
2020 as follows:
2121 Sec. 101.006. CHILD SUPPORT SERVICES. "Child support
2222 services" means administrative or court actions to:
2323 (1) establish paternity;
2424 (2) establish, modify, or enforce child support, [or]
2525 medical support, or dental support obligations;
2626 (3) locate absent parents; or
2727 (4) cooperate with other states in these actions and
2828 any other action authorized or required under Part D of Title IV of
2929 the federal Social Security Act (42 U.S.C. Section 651 et seq.) or
3030 Chapter 231.
3131 SECTION 3. Chapter 101, Family Code, is amended by adding
3232 Sections 101.0094 and 101.0095 to read as follows:
3333 Sec. 101.0094. DENTAL INSURANCE. "Dental insurance" means
3434 insurance coverage that provides preventive dental care and other
3535 dental services, including usual dentist services, office visits,
3636 examinations, X-rays, and emergency services, that may be provided
3737 through a single-service health maintenance organization or other
3838 private or public organization.
3939 Sec. 101.0095. DENTAL SUPPORT. "Dental support" means
4040 periodic payments or a lump-sum payment made under an order to cover
4141 dental expenses, including dental insurance coverage, incurred for
4242 the benefit of a child.
4343 SECTION 4. Section 101.012, Family Code, is amended to read
4444 as follows:
4545 Sec. 101.012. EMPLOYER. "Employer" means a person,
4646 corporation, partnership, workers' compensation insurance carrier,
4747 governmental entity, the United States, or any other entity that
4848 pays or owes earnings to an individual. The term includes, for the
4949 purposes of enrolling dependents in a group health or dental
5050 insurance plan, a union, trade association, or other similar
5151 organization.
5252 SECTION 5. Subsection (b), Section 101.024, Family Code, is
5353 amended to read as follows:
5454 (b) For purposes of establishing, determining the terms of,
5555 modifying, or enforcing an order, a reference in this title to a
5656 parent includes a person ordered to pay child support under Section
5757 154.001(a-1) or to provide medical support or dental support for a
5858 child.
5959 SECTION 6. Section 101.034, Family Code, is amended to read
6060 as follows:
6161 Sec. 101.034. TITLE IV-D CASE. "Title IV-D case" means an
6262 action in which services are provided by the Title IV-D agency under
6363 Part D, Title IV, of the federal Social Security Act (42 U.S.C.
6464 Section 651 et seq.), relating to the location of an absent parent,
6565 determination of parentage, or establishment, modification, or
6666 enforcement of a child support, [or] medical support, or dental
6767 support obligation.
6868 SECTION 7. Section 153.611, Family Code, is amended to read
6969 as follows:
7070 Sec. 153.611. EXCEPTION FOR CERTAIN TITLE IV-D PROCEEDINGS.
7171 Notwithstanding any other provision of this subchapter, this
7272 subchapter does not apply to a proceeding in a Title IV-D case
7373 relating to the determination of parentage or establishment,
7474 modification, or enforcement of a child support, [or] medical
7575 support, or dental support obligation.
7676 SECTION 8. Section 154.008, Family Code, is amended to read
7777 as follows:
7878 Sec. 154.008. PROVISION FOR MEDICAL SUPPORT AND DENTAL
7979 SUPPORT. The court shall order medical support and dental support
8080 for the child as provided by Subchapters B and D.
8181 SECTION 9. Subsection (c), Section 154.015, Family Code, is
8282 amended to read as follows:
8383 (c) For purposes of this section, the court of continuing
8484 jurisdiction shall determine the amount of the unpaid child support
8585 obligation for each child of the deceased obligor. In determining
8686 the amount of the unpaid child support obligation, the court shall
8787 consider all relevant factors, including:
8888 (1) the present value of the total amount of monthly
8989 periodic child support payments that would become due between the
9090 month in which the obligor dies and the month in which the child
9191 turns 18 years of age, based on the amount of the periodic monthly
9292 child support payments under the child support order in effect on
9393 the date of the obligor's death;
9494 (2) the present value of the total amount of health
9595 insurance and dental insurance premiums payable for the benefit of
9696 the child from the month in which the obligor dies until the month
9797 in which the child turns 18 years of age, based on the cost of health
9898 insurance and dental insurance for the child ordered to be paid on
9999 the date of the obligor's death;
100100 (3) in the case of a disabled child under 18 years of
101101 age or an adult disabled child, an amount to be determined by the
102102 court under Section 154.306;
103103 (4) the nature and amount of any benefit to which the
104104 child would be entitled as a result of the obligor's death,
105105 including life insurance proceeds, annuity payments, trust
106106 distributions, social security death benefits, and retirement
107107 survivor benefits; and
108108 (5) any other financial resource available for the
109109 support of the child.
110110 SECTION 10. Subsection (b), Section 154.016, Family Code,
111111 is amended to read as follows:
112112 (b) In determining the nature and extent of the obligation
113113 to provide for the support of the child in the event of the death of
114114 the obligor, the court shall consider all relevant factors,
115115 including:
116116 (1) the present value of the total amount of monthly
117117 periodic child support payments from the date the child support
118118 order is rendered until the month in which the child turns 18 years
119119 of age, based on the amount of the periodic monthly child support
120120 payment under the child support order;
121121 (2) the present value of the total amount of health
122122 insurance and dental insurance premiums payable for the benefit of
123123 the child from the date the child support order is rendered until
124124 the month in which the child turns 18 years of age, based on the cost
125125 of health insurance and dental insurance for the child ordered to be
126126 paid; and
127127 (3) in the case of a disabled child under 18 years of
128128 age or an adult disabled child, an amount to be determined by the
129129 court under Section 154.306.
130130 SECTION 11. Subsections (d) and (e), Section 154.062,
131131 Family Code, are amended to read as follows:
132132 (d) The court shall deduct the following items from
133133 resources to determine the net resources available for child
134134 support:
135135 (1) social security taxes;
136136 (2) federal income tax based on the tax rate for a
137137 single person claiming one personal exemption and the standard
138138 deduction;
139139 (3) state income tax;
140140 (4) union dues; and
141141 (5) expenses for the cost of health insurance, dental
142142 insurance, or cash medical support for the obligor's child ordered
143143 by the court under Sections [Section] 154.182 and 154.1825.
144144 (e) In calculating the amount of the deduction for health
145145 care or dental coverage for a child under Subsection (d)(5), if the
146146 obligor has other minor dependents covered under the same health or
147147 dental insurance plan, the court shall divide the total cost to the
148148 obligor for the insurance by the total number of minor dependents,
149149 including the child, covered under the plan.
150150 SECTION 12. Section 154.064, Family Code, is amended to
151151 read as follows:
152152 Sec. 154.064. MEDICAL SUPPORT AND DENTAL SUPPORT FOR CHILD
153153 PRESUMPTIVELY PROVIDED BY OBLIGOR. The guidelines for support of a
154154 child are based on the assumption that the court will order the
155155 obligor to provide medical support and dental support for the child
156156 in addition to the amount of child support calculated in accordance
157157 with those guidelines.
158158 SECTION 13. The heading to Subchapter D, Chapter 154,
159159 Family Code, is amended to read as follows:
160160 SUBCHAPTER D. MEDICAL SUPPORT AND DENTAL SUPPORT FOR CHILD
161161 SECTION 14. Subchapter D, Chapter 154, Family Code, is
162162 amended by adding Section 154.1815 to read as follows:
163163 Sec. 154.1815. DENTAL SUPPORT ORDER. (a) In this section,
164164 "reasonable cost" means the cost of a dental insurance premium that
165165 does not exceed 1.5 percent of the obligor's annual resources, as
166166 described by Section 154.062(b), if the obligor is responsible
167167 under a dental support order for the cost of dental insurance
168168 coverage for only one child. If the obligor is responsible under a
169169 dental support order for the cost of dental insurance coverage for
170170 more than one child, "reasonable cost" means the total cost of
171171 dental insurance coverage for all children for which the obligor is
172172 responsible under a dental support order that does not exceed 1.5
173173 percent of the obligor's annual resources, as described by Section
174174 154.062(b).
175175 (b) In a suit affecting the parent-child relationship or in
176176 a proceeding under Chapter 159, the court shall render an order for
177177 the dental support of the child as provided by this section and
178178 Section 154.1825.
179179 (c) Before a hearing on temporary orders, or a final order
180180 if no hearing on temporary orders is held, the court shall require
181181 the parties to the proceedings to disclose in a pleading or other
182182 document whether the child is covered by dental insurance and, if
183183 the child is covered, the identity of the insurer providing the
184184 coverage, the policy number, which parent is responsible for
185185 payment of any insurance premium for the coverage, whether the
186186 coverage is provided through a parent's employment, and the cost of
187187 the premium. If dental insurance is not in effect for the child,
188188 the parties must disclose to the court whether either parent has
189189 access to dental insurance at a reasonable cost to the obligor.
190190 (d) In rendering temporary orders, the court shall, except
191191 for good cause shown, order that any dental insurance coverage in
192192 effect for the child continue in effect pending the rendition of a
193193 final order, except that the court may not require the continuation
194194 of any dental insurance that is not available to the parent at a
195195 reasonable cost to the obligor. If dental insurance coverage is not
196196 in effect for the child or if the insurance in effect is not
197197 available at a reasonable cost to the obligor, the court shall,
198198 except for good cause shown, order dental insurance coverage for
199199 the child as provided by Section 154.1825.
200200 (e) On rendering a final order the court shall:
201201 (1) make specific findings with respect to the manner
202202 in which dental insurance coverage is to be provided for the child,
203203 in accordance with the priorities identified under Section
204204 154.1825; and
205205 (2) except for good cause shown or on agreement of the
206206 parties, require the parent ordered to provide dental insurance
207207 coverage for the child as provided by Section 154.1825 to produce
208208 evidence to the court's satisfaction that the parent has applied
209209 for or secured dental insurance or has otherwise taken necessary
210210 action to provide for dental insurance coverage for the child, as
211211 ordered by the court.
212212 SECTION 15. Subchapter D, Chapter 154, Family Code, is
213213 amended by adding Section 154.1825 to read as follows:
214214 Sec. 154.1825. DENTAL CARE COVERAGE FOR CHILD. (a) In
215215 this section:
216216 (1) "Accessibility" means the extent to which dental
217217 insurance coverage for a child provides for the availability of
218218 dental care within a reasonable traveling distance and time from
219219 the child's primary residence, as determined by the court.
220220 (2) "Reasonable cost" has the meaning assigned by
221221 Section 154.1815(a).
222222 (b) The court shall consider the cost, accessibility, and
223223 quality of dental insurance coverage available to the parties and
224224 shall give priority to dental insurance coverage available through
225225 the employment of one of the parties if the coverage is available at
226226 a reasonable cost to the obligor.
227227 (c) In determining the manner in which dental care coverage
228228 for the child is to be ordered, the court shall render its order in
229229 accordance with the following priorities, unless a party shows good
230230 cause why a particular order is not in the best interest of the
231231 child:
232232 (1) if dental insurance is available for the child
233233 through a parent's employment or membership in a union, trade
234234 association, or other organization at reasonable cost, the court
235235 shall order that parent to include the child in the parent's dental
236236 insurance; or
237237 (2) if dental insurance is not available for the child
238238 under Subdivision (1) but is available to a parent from another
239239 source and at a reasonable cost, the court may order that parent to
240240 provide dental insurance for the child.
241241 (d) If the parent ordered to provide dental insurance under
242242 Subsection (c)(1) or (2) is the obligee, the court shall order the
243243 obligor to pay the obligee, as additional child support, an amount
244244 equal to the actual cost of dental insurance for the child but not
245245 to exceed a reasonable cost to the obligor. In calculating the
246246 actual cost of dental insurance for the child, if the obligee has
247247 other minor dependents covered under the same dental insurance
248248 plan, the court shall divide the total cost to the obligee for the
249249 insurance by the total number of minor dependents, including the
250250 child covered under the plan.
251251 (e) If the court finds that neither parent has access to
252252 private dental insurance at a reasonable cost to the obligor, the
253253 court shall order the parent awarded the exclusive right to
254254 designate the child's primary residence or, to the extent permitted
255255 by law, the other parent to apply immediately on behalf of the child
256256 for participation in any government medical assistance program or
257257 health plan that provides dental coverage.
258258 SECTION 16. Section 154.183, Family Code, is amended to
259259 read as follows:
260260 Sec. 154.183. MEDICAL AND DENTAL SUPPORT ADDITIONAL SUPPORT
261261 DUTY OF OBLIGOR. (a) An amount that an obligor is ordered to pay
262262 as medical support or dental support for the child under this
263263 chapter, including the costs of health insurance coverage or cash
264264 medical support under Section 154.182 and the costs of dental
265265 insurance under Section 154.1825:
266266 (1) is in addition to the amount that the obligor is
267267 required to pay for child support under the guidelines for child
268268 support;
269269 (2) is a child support obligation; and
270270 (3) may be enforced by any means available for the
271271 enforcement of child support, including withholding from earnings
272272 under Chapter 158.
273273 (b) If the court finds and states in the child support order
274274 that the obligee will maintain health insurance coverage, dental
275275 insurance coverage, or both, for the child at the obligee's
276276 expense, the court shall increase the amount of child support to be
277277 paid by the obligor in an amount not exceeding the actual cost to
278278 the obligee for maintaining the [health insurance] coverage, as
279279 provided under Sections [Section] 154.182(b-1) and 154.1825(d).
280280 (c) As additional child support, the court shall allocate
281281 between the parties, according to their circumstances:
282282 (1) the reasonable and necessary health care expenses,
283283 including vision and dental expenses, of the child that are not
284284 reimbursed by health or dental insurance or are not otherwise
285285 covered by the amount of cash medical support ordered under Section
286286 154.182 [154.182(b)(3)]; and
287287 (2) amounts paid by either party as deductibles or
288288 copayments in obtaining health care or dental care services for the
289289 child covered under a health insurance or dental insurance policy.
290290 SECTION 17. Subsections (a) and (b), Section 154.184,
291291 Family Code, are amended to read as follows:
292292 (a) Receipt of a medical support order requiring that health
293293 insurance be provided for a child or a dental support order
294294 requiring that dental insurance be provided for a child shall be
295295 considered a change in the family circumstances of the employee or
296296 member, for health insurance purposes and dental insurance
297297 purposes, equivalent to the birth or adoption of a child.
298298 (b) If the employee or member is eligible for dependent
299299 health coverage or dependent dental coverage, the employer shall
300300 automatically enroll the child for the first 31 days after the
301301 receipt of the order or notice of the medical support order or the
302302 dental support order under Section 154.186 on the same terms and
303303 conditions as apply to any other dependent child.
304304 SECTION 18. Section 154.185, Family Code, is amended to
305305 read as follows:
306306 Sec. 154.185. PARENT TO FURNISH INFORMATION. (a) The
307307 court shall order a parent providing health insurance or dental
308308 insurance to furnish to either the obligee, obligor, or child
309309 support agency the following information not later than the 30th
310310 day after the date the notice of rendition of the order is received:
311311 (1) the social security number of the parent;
312312 (2) the name and address of the parent's employer;
313313 (3) with regard to health insurance:
314314 (A) whether the employer is self-insured or has
315315 health insurance available;
316316 (B) [(4)] proof that health insurance has been
317317 provided for the child;
318318 (C) [(5)] if the employer has health insurance
319319 available, the name of the health insurance carrier, the number of
320320 the policy, a copy of the policy and schedule of benefits, a health
321321 insurance membership card, claim forms, and any other information
322322 necessary to submit a claim; and
323323 (D) [(6)] if the employer is self-insured, a copy
324324 of the schedule of benefits, a membership card, claim forms, and any
325325 other information necessary to submit a claim; and
326326 (4) with regard to dental insurance:
327327 (A) whether the employer is self-insured or has
328328 dental insurance available;
329329 (B) proof that dental insurance has been provided
330330 for the child;
331331 (C) if the employer has dental insurance
332332 available, the name of the dental insurance carrier, the number of
333333 the policy, a copy of the policy and schedule of benefits, a dental
334334 insurance membership card, claim forms, and any other information
335335 necessary to submit a claim; and
336336 (D) if the employer is self-insured, a copy of
337337 the schedule of benefits, a membership card, claim forms, and any
338338 other information necessary to submit a claim.
339339 (b) The court shall also order a parent providing health
340340 insurance or dental insurance to furnish the obligor, obligee, or
341341 child support agency with additional information regarding the
342342 health insurance coverage or dental insurance coverage not later
343343 than the 15th day after the date the information is received by the
344344 parent.
345345 SECTION 19. The heading to Section 154.186, Family Code, is
346346 amended to read as follows:
347347 Sec. 154.186. NOTICE TO EMPLOYER CONCERNING MEDICAL SUPPORT
348348 OR DENTAL SUPPORT.
349349 SECTION 20. Subsection (a), Section 154.186, Family Code,
350350 is amended to read as follows:
351351 (a) The obligee, obligor, or a child support agency of this
352352 state or another state may send to the employer a copy of the order
353353 requiring an employee to provide health insurance coverage or
354354 dental insurance coverage for a child or may include notice of the
355355 medical support order or dental support order in an order or writ of
356356 withholding sent to the employer in accordance with Chapter 158.
357357 SECTION 21. Subsections (a) through (e), and (g), Section
358358 154.187, Family Code, are amended to read as follows:
359359 (a) An order or notice under this subchapter to an employer
360360 directing that health insurance coverage or dental insurance
361361 coverage be provided to a child of an employee or member is binding
362362 on a current or subsequent employer on receipt without regard to the
363363 date the order was rendered. If the employee or member is eligible
364364 for dependent health coverage or dental coverage for the child, the
365365 employer shall immediately enroll the child in a health insurance
366366 plan or dental insurance plan regardless of whether the employee is
367367 enrolled in the plan. If dependent coverage is not available to the
368368 employee or member through the employer's health insurance plan or
369369 dental insurance plan or enrollment cannot be made permanent or if
370370 the employer is not responsible or otherwise liable for providing
371371 such coverage, the employer shall provide notice to the sender in
372372 accordance with Subsection (c).
373373 (b) If additional premiums are incurred as a result of
374374 adding the child to the health insurance plan or the dental
375375 insurance plan, the employer shall deduct the health insurance
376376 premium or the dental insurance premium from the earnings of the
377377 employee in accordance with Chapter 158 and apply the amount
378378 withheld to payment of the insurance premium.
379379 (c) An employer who has received an order or notice under
380380 this subchapter shall provide to the sender, by first class mail not
381381 later than the 30th day after the date the employer receives the
382382 order or notice, a statement that the child:
383383 (1) has been enrolled in the employer's health
384384 insurance plan or dental insurance plan, or is already enrolled in
385385 another health insurance plan or dental insurance plan in
386386 accordance with a previous child support, [or] medical support, or
387387 dental support order to which the employee is subject; or
388388 (2) cannot be enrolled or cannot be enrolled
389389 permanently in the employer's health insurance plan or dental
390390 insurance plan and provide the reason why coverage or permanent
391391 coverage cannot be provided.
392392 (d) If the employee ceases employment or if the health
393393 insurance coverage or dental insurance coverage lapses, the
394394 employer shall provide to the sender, by first class mail not later
395395 than the 15th day after the date of the termination of employment or
396396 the lapse of the coverage, notice of the termination or lapse and of
397397 the availability of any conversion privileges.
398398 (e) On request, the employer shall release to the sender
399399 information concerning the available health insurance coverage or
400400 dental insurance coverage, including the name of the health
401401 insurance carrier or dental insurance carrier, the policy number, a
402402 copy of the policy and schedule of benefits, a health insurance or
403403 dental insurance membership card, and claim forms.
404404 (g) An employer who fails to enroll a child, fails to
405405 withhold or remit premiums or cash medical support, or
406406 discriminates in hiring or employment on the basis of a medical
407407 support order or notice or a dental support order or notice under
408408 this subchapter shall be subject to the penalties and fines in
409409 Subchapter C, Chapter 158.
410410 SECTION 22. Section 154.188, Family Code, is amended to
411411 read as follows:
412412 Sec. 154.188. FAILURE TO PROVIDE OR PAY FOR REQUIRED HEALTH
413413 INSURANCE OR DENTAL INSURANCE. A parent ordered to provide health
414414 insurance or dental insurance or to pay the other parent additional
415415 child support for the cost of health insurance or dental insurance
416416 who fails to do so is liable for:
417417 (1) necessary medical expenses or dental expenses of
418418 the child, without regard to whether the expenses would have been
419419 paid if health insurance or dental insurance had been provided; and
420420 (2) the cost of health insurance premiums, dental
421421 insurance premiums, or contributions, if any, paid on behalf of the
422422 child.
423423 SECTION 23. Section 154.189, Family Code, is amended to
424424 read as follows:
425425 Sec. 154.189. NOTICE OF TERMINATION OR LAPSE OF INSURANCE
426426 COVERAGE. (a) An obligor ordered to provide health insurance
427427 coverage or dental insurance coverage for a child must notify the
428428 obligee and any child support agency enforcing a support obligation
429429 against the obligor of the:
430430 (1) termination or lapse of health insurance coverage
431431 or dental insurance coverage for the child not later than the 15th
432432 day after the date of a termination or lapse; and
433433 (2) availability of additional health insurance or
434434 dental insurance to the obligor for the child after a termination or
435435 lapse of coverage not later than the 15th day after the date the
436436 insurance becomes available.
437437 (b) If termination of coverage results from a change of
438438 employers, the obligor, the obligee, or the child support agency
439439 may send the new employer a copy of the order requiring the employee
440440 to provide health insurance or dental insurance for a child or
441441 notice of the medical support order or the dental support order as
442442 provided by this subchapter.
443443 SECTION 24. Section 154.190, Family Code, is amended to
444444 read as follows:
445445 Sec. 154.190. REENROLLING CHILD FOR INSURANCE COVERAGE.
446446 After health insurance or dental insurance has been terminated or
447447 has lapsed, an obligor ordered to provide health insurance coverage
448448 or dental insurance coverage for the child must enroll the child in
449449 a health insurance plan or a dental insurance plan at the next
450450 available enrollment period.
451451 SECTION 25. Section 154.191, Family Code, is amended to
452452 read as follows:
453453 Sec. 154.191. REMEDY NOT EXCLUSIVE. (a) This subchapter
454454 does not limit the rights of the obligor, obligee, local domestic
455455 relations office, or Title IV-D agency to enforce, modify, or
456456 clarify the medical support order or dental support order.
457457 (b) This subchapter does not limit the authority of the
458458 court to render or modify a medical support order or dental support
459459 order to provide for payment of uninsured health expenses, health
460460 care costs, [or] health insurance premiums, uninsured dental
461461 expenses, dental costs, or dental insurance premiums in a manner
462462 consistent with this subchapter.
463463 SECTION 26. Section 154.192, Family Code, is amended to
464464 read as follows:
465465 Sec. 154.192. CANCELLATION OR ELIMINATION OF INSURANCE
466466 COVERAGE FOR CHILD. [(a)] Unless the employee or member ceases to
467467 be eligible for dependent coverage, or the employer has eliminated
468468 dependent health coverage or dental coverage for all of the
469469 employer's employees or members, the employer may not cancel or
470470 eliminate coverage of a child enrolled under this subchapter until
471471 the employer is provided satisfactory written evidence that:
472472 (1) the court order or administrative order requiring
473473 the coverage is no longer in effect; or
474474 (2) the child is enrolled in comparable [health]
475475 insurance coverage or will be enrolled in comparable coverage that
476476 will take effect not later than the effective date of the
477477 cancellation or elimination of the employer's coverage.
478478 SECTION 27. The heading to Section 154.193, Family Code, is
479479 amended to read as follows:
480480 Sec. 154.193. MEDICAL SUPPORT ORDER OR DENTAL SUPPORT ORDER
481481 NOT QUALIFIED.
482482 SECTION 28. Subsection (a), Section 154.193, Family Code,
483483 is amended to read as follows:
484484 (a) If a plan administrator or other person acting in an
485485 equivalent position determines that a medical support order or
486486 dental support order issued under this subchapter does not qualify
487487 for enforcement under federal law, the tribunal may, on its own
488488 motion or the motion of a party, render an order that qualifies for
489489 enforcement under federal law.
490490 SECTION 29. Subsection (a), Section 156.401, Family Code,
491491 is amended to read as follows:
492492 (a) Except as provided by Subsection (a-1) or (b), the court
493493 may modify an order that provides for the support of a child,
494494 including an order for health care coverage under Section 154.182
495495 or an order for dental care coverage under Section 154.1825, if:
496496 (1) the circumstances of the child or a person
497497 affected by the order have materially and substantially changed
498498 since the earlier of:
499499 (A) the date of the order's rendition; or
500500 (B) the date of the signing of a mediated or
501501 collaborative law settlement agreement on which the order is based;
502502 or
503503 (2) it has been three years since the order was
504504 rendered or last modified and the monthly amount of the child
505505 support award under the order differs by either 20 percent or $100
506506 from the amount that would be awarded in accordance with the child
507507 support guidelines.
508508 SECTION 30. Section 157.269, Family Code, is amended to
509509 read as follows:
510510 Sec. 157.269. RETENTION OF JURISDICTION. A court that
511511 renders an order providing for the payment of child support retains
512512 continuing jurisdiction to enforce the order, including by
513513 adjusting the amount of the periodic payments to be made by the
514514 obligor or the amount to be withheld from the obligor's disposable
515515 earnings, until all current support, [and] medical support, dental
516516 support, and child support arrearages, including interest and any
517517 applicable fees and costs, have been paid.
518518 SECTION 31. Subsections (a) and (b), Section 158.206,
519519 Family Code, are amended to read as follows:
520520 (a) An employer receiving an order or a writ of withholding
521521 under this chapter, including an order or writ directing that
522522 health insurance or dental insurance be provided to a child, who
523523 complies with the order or writ is not liable to the obligor for the
524524 amount of income withheld and paid as required by the order or writ.
525525 (b) An employer receiving an order or writ of withholding
526526 who does not comply with the order or writ is liable:
527527 (1) to the obligee for the amount not paid in
528528 compliance with the order or writ, including the amount the obligor
529529 is required to pay for health insurance or dental insurance under
530530 Chapter 154;
531531 (2) to the obligor for:
532532 (A) the amount withheld and not paid as required
533533 by the order or writ; and
534534 (B) an amount equal to the interest that accrues
535535 under Section 157.265 on the amount withheld and not paid; and
536536 (3) for reasonable attorney's fees and court costs.
537537 SECTION 32. Section 158.302, Family Code, is amended to
538538 read as follows:
539539 Sec. 158.302. CONTENTS OF NOTICE OF APPLICATION FOR
540540 JUDICIAL WRIT OF WITHHOLDING. The notice of application for
541541 judicial writ of withholding shall be verified and:
542542 (1) state the amount of monthly support due, including
543543 medical support and dental support, the amount of arrearages or
544544 anticipated arrearages, including accrued interest, and the amount
545545 of wages that will be withheld in accordance with a judicial writ of
546546 withholding;
547547 (2) state that the withholding applies to each current
548548 or subsequent employer or period of employment;
549549 (3) state that if the obligor does not contest the
550550 withholding within 10 days after the date of receipt of the notice,
551551 the obligor's employer will be notified to begin the withholding;
552552 (4) describe the procedures for contesting the
553553 issuance and delivery of a writ of withholding;
554554 (5) state that if the obligor contests the
555555 withholding, the obligor will be afforded an opportunity for a
556556 hearing by the court not later than the 30th day after the date of
557557 receipt of the notice of contest;
558558 (6) state that the sole ground for successfully
559559 contesting the issuance of a writ of withholding is a dispute
560560 concerning the identity of the obligor or the existence or amount of
561561 the arrearages, including accrued interest;
562562 (7) describe the actions that may be taken if the
563563 obligor contests the notice of application for judicial writ of
564564 withholding, including the procedures for suspending issuance of a
565565 writ of withholding; and
566566 (8) include with the notice a suggested form for the
567567 motion to stay issuance and delivery of the judicial writ of
568568 withholding that the obligor may file with the clerk of the
569569 appropriate court.
570570 SECTION 33. Subsection (c), Section 158.309, Family Code,
571571 is amended to read as follows:
572572 (c) Upon hearing, the court shall:
573573 (1) render an order for income withholding that
574574 includes a determination of the amount of child support arrearages,
575575 including medical support, dental support, and interest; or
576576 (2) grant the motion to stay.
577577 SECTION 34. Subsection (a), Section 158.312, Family Code,
578578 is amended to read as follows:
579579 (a) If a notice of application for judicial writ of
580580 withholding is delivered and a motion to stay is not filed within
581581 the time limits provided by Section 158.307, the party who filed the
582582 notice shall file with the clerk of the court a request for issuance
583583 of the writ of withholding stating the amount of current support,
584584 including medical support and dental support, the amount of
585585 arrearages, and the amount to be withheld from the obligor's
586586 income.
587587 SECTION 35. Section 158.314, Family Code, is amended to
588588 read as follows:
589589 Sec. 158.314. CONTENTS OF WRIT OF WITHHOLDING. The
590590 judicial writ of income withholding issued by the clerk must direct
591591 that the employer or a subsequent employer withhold from the
592592 obligor's disposable income for current child support, including
593593 medical support and dental support, and child support arrearages an
594594 amount that is consistent with the provisions of this chapter
595595 regarding orders of withholding.
596596 SECTION 36. Subsection (a), Section 158.502, Family Code,
597597 is amended to read as follows:
598598 (a) An administrative writ of withholding under this
599599 subchapter may be issued by the Title IV-D agency at any time until
600600 all current support, including medical support and dental support,
601601 [and] child support arrearages, and Title IV-D service fees
602602 authorized under Section 231.103 for which the obligor is
603603 responsible[,] have been paid. The writ issued under this
604604 subsection may be based on an obligation in more than one support
605605 order.
606606 SECTION 37. Subsection (b), Section 158.504, Family Code,
607607 is amended to read as follows:
608608 (b) An administrative writ of withholding issued under this
609609 subchapter may contain only the information that is necessary for
610610 the employer to withhold income for child support, [and] medical
611611 support, and dental support and shall specify the place where the
612612 withheld income is to be paid.
613613 SECTION 38. Section 158.507, Family Code, is amended to
614614 read as follows:
615615 Sec. 158.507. ADMINISTRATIVE WRIT TERMINATING WITHHOLDING.
616616 An administrative writ to terminate withholding may be issued and
617617 delivered to an employer by the Title IV-D agency when all current
618618 support, including medical support and dental support, [and] child
619619 support arrearages, and Title IV-D service fees authorized under
620620 Section 231.103 for which the obligor is responsible[,] have been
621621 paid.
622622 SECTION 39. Subsection (c), Section 159.502, Family Code,
623623 is amended to read as follows:
624624 (c) Except as otherwise provided in Subsection (d) and
625625 Section 159.503, the employer shall withhold and distribute the
626626 funds as directed in the withholding order by complying with terms
627627 of the order that specify:
628628 (1) the duration and amount of periodic payments of
629629 current child support, stated as a sum certain;
630630 (2) the person designated to receive payments and the
631631 address to which the payments are to be forwarded;
632632 (3) medical support and dental support, whether in the
633633 form of periodic cash payments, stated as a sum certain, or ordering
634634 the obligor to provide health insurance coverage or dental
635635 insurance coverage for the child under a policy available through
636636 the obligor's employment;
637637 (4) the amount of periodic payments of fees and costs
638638 for a support enforcement agency, the issuing tribunal, and the
639639 obligee's attorney, stated as sums certain; and
640640 (5) the amount of periodic payments of arrearages and
641641 interest on arrearages, stated as sums certain.
642642 SECTION 40. The heading to Section 231.0011, Family Code,
643643 is amended to read as follows:
644644 Sec. 231.0011. DEVELOPMENT OF STATEWIDE INTEGRATED SYSTEM
645645 FOR CHILD SUPPORT, [AND] MEDICAL SUPPORT, AND DENTAL SUPPORT
646646 ENFORCEMENT.
647647 SECTION 41. Subsections (a) and (g), Section 231.0011,
648648 Family Code, are amended to read as follows:
649649 (a) The Title IV-D agency shall have final approval
650650 authority on any contract or proposal for delivery of Title IV-D
651651 services under this section and in coordination with the Texas
652652 Judicial Council, the Office of Court Administration of the Texas
653653 Judicial System, the federal Office of Child Support Enforcement,
654654 and state, county, and local officials, shall develop and implement
655655 a statewide integrated system for child support, [and] medical
656656 support, and dental support enforcement, employing federal, state,
657657 local, and private resources to:
658658 (1) unify child support registry functions;
659659 (2) record and track all child support orders entered
660660 in the state;
661661 (3) establish an automated enforcement process which
662662 will use delinquency monitoring, billing, and other enforcement
663663 techniques to ensure the payment of current support;
664664 (4) incorporate existing enforcement resources into
665665 the system to obtain maximum benefit from state and federal
666666 funding; and
667667 (5) ensure accountability for all participants in the
668668 process, including state, county, and local officials, private
669669 contractors, and the judiciary.
670670 (g) Participation in the statewide integrated system for
671671 child support, [and] medical support, and dental support
672672 enforcement by a county is voluntary, and nothing in this section
673673 shall be construed to mandate participation.
674674 SECTION 42. Subsection (e), Section 231.002, Family Code,
675675 is amended to read as follows:
676676 (e) The Title IV-D agency may take the following
677677 administrative actions with respect to the location of a parent,
678678 the determination of parentage, and the establishment,
679679 modification, and enforcement of child support, [and] medical
680680 support, and dental support orders required by 42 U.S.C. Section
681681 666(c), without obtaining an order from any other judicial or
682682 administrative tribunal:
683683 (1) issue an administrative subpoena, as provided by
684684 Section 231.303, to obtain financial or other information;
685685 (2) order genetic testing for parentage
686686 determination, as provided by Chapter 233;
687687 (3) order income withholding, as provided by Chapter
688688 233, and issue an administrative writ of withholding, as provided
689689 by Chapter 158; and
690690 (4) take any action with respect to execution,
691691 collection, and release of a judgment or lien for child support
692692 necessary to satisfy the judgment or lien, as provided by Chapter
693693 157.
694694 SECTION 43. Subsection (a), Section 231.101, Family Code,
695695 is amended to read as follows:
696696 (a) The Title IV-D agency may provide all services required
697697 or authorized to be provided by Part D of Title IV of the federal
698698 Social Security Act (42 U.S.C. Section 651 et seq.), including:
699699 (1) parent locator services;
700700 (2) paternity determination;
701701 (3) child support, [and] medical support, and dental
702702 support establishment;
703703 (4) review and adjustment of child support orders;
704704 (5) enforcement of child support, [and] medical
705705 support, and dental support orders; and
706706 (6) collection and distribution of child support
707707 payments.
708708 SECTION 44. Subsection (b), Section 231.104, Family Code,
709709 is amended to read as follows:
710710 (b) An application for child support services is an
711711 assignment of support rights to enable the Title IV-D agency to
712712 establish and enforce child support, [and] medical support, and
713713 dental support obligations, but an assignment is not a condition of
714714 eligibility for services.
715715 SECTION 45. Subsection (a), Section 231.123, Family Code,
716716 is amended to read as follows:
717717 (a) In order to maximize the amount of any tax refund to
718718 which an obligor may be entitled and which may be applied to child
719719 support, [and] medical support, and dental support obligations, the
720720 Title IV-D agency shall cooperate with volunteer income tax
721721 assistance programs in the state in informing obligors of the
722722 availability of the programs.
723723 SECTION 46. Subsection (a), Section 231.301, Family Code,
724724 is amended to read as follows:
725725 (a) The parent locator service conducted by the Title IV-D
726726 agency shall be used to obtain information for:
727727 (1) child support establishment and enforcement
728728 purposes regarding the identity, social security number, location,
729729 employer and employment benefits, income, and assets or debts of
730730 any individual under an obligation to pay child support, [or]
731731 medical support, or dental support or to whom a support obligation
732732 is owed; or
733733 (2) the establishment of paternity.
734734 SECTION 47. Section 231.306, Family Code, is amended to
735735 read as follows:
736736 Sec. 231.306. MAXIMIZING MEDICAL SUPPORT AND DENTAL SUPPORT
737737 ESTABLISHMENT AND COLLECTION BY THE TITLE IV-D AGENCY. (a) On the
738738 installation of an automated child support enforcement system, the
739739 Title IV-D agency is strongly encouraged to:
740740 (1) maximize the collection of medical support and
741741 dental support; and
742742 (2) establish cash medical support orders for children
743743 eligible for medical assistance under the state Medicaid program
744744 for whom private insurance coverage is not available.
745745 (b) In this section:
746746 (1) "Medical[, "medical] support" has the meaning
747747 assigned by Section 101.020.
748748 (2) "Dental support" has the meaning assigned by
749749 Section 101.0095.
750750 SECTION 48. Subsection (a), Section 233.001, Family Code,
751751 is amended to read as follows:
752752 (a) The purpose of the procedures specified in the child
753753 support review process authorized by this chapter is to enable the
754754 Title IV-D agency to take expedited administrative actions to
755755 establish, modify, and enforce child support, [and] medical
756756 support, and dental support obligations, to determine parentage, or
757757 to take any other action authorized or required under Part D, Title
758758 IV, of the federal Social Security Act (42 U.S.C. Section 651 et
759759 seq.), and Chapter 231.
760760 SECTION 49. Subsection (b), Section 233.009, Family Code,
761761 is amended to read as follows:
762762 (b) The notice of proposed child support review order shall
763763 state:
764764 (1) the amount of periodic payment of child support
765765 due, the amount of any overdue support that is owed as an arrearage
766766 as of the date of the notice, and the amounts that are to be paid by
767767 the obligor for current support due and in payment on the arrearage
768768 owed;
769769 (2) that the person identified in the notice as the
770770 party responsible for payment of the support amounts may contest
771771 the notice order on the grounds that:
772772 (A) the respondent is not the responsible party;
773773 (B) the dependent child is no longer entitled to
774774 child support; or
775775 (C) the amount of monthly support or arrearage is
776776 incorrectly stated; and
777777 (3) that, if the person identified in the notice as the
778778 party responsible for payment of the support amounts does not
779779 contest the notice in writing or request a negotiation conference
780780 to discuss the notice not later than the 15th day after the date the
781781 notice was delivered, the Title IV-D agency may file a child support
782782 review order for child support, [and for] medical support, and
783783 dental support for the child as provided by Chapter 154 according to
784784 the information available to the agency.
785785 SECTION 50. Subsection (b), Section 233.0095, Family Code,
786786 is amended to read as follows:
787787 (b) The notice of proposed child support review order shall
788788 state:
789789 (1) the amount of periodic payment of child support
790790 due;
791791 (2) that the person identified in the notice as the
792792 party responsible for payment of the support amounts may only
793793 contest the amount of monthly support; and
794794 (3) that, if the person identified in the notice as the
795795 party responsible for payment of the support amounts does not
796796 contest the notice in writing or request a negotiation conference
797797 to discuss the notice not later than the 15th day after the date the
798798 notice was delivered, the Title IV-D agency may file the child
799799 support order for child support, [and for] medical support, and
800800 dental support for the child as provided by Chapter 154 according to
801801 the information available to the agency.
802802 SECTION 51. Subsection (a), Section 233.017, Family Code,
803803 is amended to read as follows:
804804 (a) An order issued under this chapter must be reviewed and
805805 signed by an attorney of the Title IV-D agency and must contain all
806806 provisions that are appropriate for an order under this title,
807807 including current child support, medical support, dental support, a
808808 determination of any arrearages or retroactive support, and, if not
809809 otherwise ordered, income withholding.
810810 SECTION 52. Section 234.002, Family Code, is amended to
811811 read as follows:
812812 Sec. 234.002. INTEGRATED SYSTEM FOR CHILD SUPPORT, [AND]
813813 MEDICAL SUPPORT, AND DENTAL SUPPORT ENFORCEMENT. The statewide
814814 integrated system for child support, [and] medical support, and
815815 dental support enforcement under Chapter 231 shall be part of the
816816 state case registry and state disbursement unit authorized by this
817817 subchapter.
818818 SECTION 53. Subsection (a), Section 71.035, Government
819819 Code, is amended to read as follows:
820820 (a) The council shall gather judicial statistics and other
821821 pertinent information from the several state judges and other court
822822 officials of this state. In addition, the council shall implement a
823823 monthly tracking system to ensure accountability for counties and
824824 courts which participate in the statewide integrated system for
825825 child support, [and] medical support, and dental support
826826 enforcement established under Section 231.0011, Family Code. As a
827827 duty of office, the district clerks and county clerks serving the
828828 affected courts shall report monthly such information as may be
829829 required by the council, including, at a minimum, the time required
830830 to enforce cases from date of delinquency, from date of filing, and
831831 from date of service until date of disposition. Such information as
832832 is necessary to complete the report and not directly within the
833833 control of the district or county clerk, such as date of
834834 delinquency, shall be provided to the clerk by the child support
835835 registry or by the enforcement agency providing Title IV-D
836836 enforcement services in the court. The monthly report shall be
837837 transmitted to the Office of Court Administration of the Texas
838838 Judicial System no later than the 20th day of the month following
839839 the month reported, in such form as may be prescribed by the Office
840840 of Court Administration, which may include electronic data
841841 transfer. Copies of such reports shall be maintained in the office
842842 of the appropriate district or county clerk for a period of at least
843843 two years and shall be available to the public for inspection and
844844 reproduction.
845845 SECTION 54. Subsection (b), Section 1201.053, Insurance
846846 Code, is amended to read as follows:
847847 (b) On the application of an adult member of a family, an
848848 individual accident and health insurance policy may, at the time of
849849 original issuance or by subsequent amendment, insure two or more
850850 eligible members of the adult's family, including a spouse,
851851 unmarried children younger than 25 years of age, including a
852852 grandchild of the adult as described by Section 1201.062(a)(1), a
853853 child the adult is required to insure under a medical support order
854854 or dental support order, if the policy provides dental coverage,
855855 issued under Chapter 154, Family Code, or enforceable by a court in
856856 this state, and any other individual dependent on the adult.
857857 SECTION 55. Subsection (a), Section 1201.062, Insurance
858858 Code, is amended to read as follows:
859859 (a) An individual or group accident and health insurance
860860 policy that is delivered, issued for delivery, or renewed in this
861861 state, including a policy issued by a corporation operating under
862862 Chapter 842, or a self-funded or self-insured welfare or benefit
863863 plan or program, to the extent that regulation of the plan or
864864 program is not preempted by federal law, that provides coverage for
865865 a child of an insured or group member, on payment of a premium, must
866866 provide coverage for:
867867 (1) each grandchild of the insured or group member if
868868 the grandchild is:
869869 (A) unmarried;
870870 (B) younger than 25 years of age; and
871871 (C) a dependent of the insured or group member
872872 for federal income tax purposes at the time application for
873873 coverage of the grandchild is made; and
874874 (2) each child for whom the insured or group member
875875 must provide medical support or dental support, if the policy
876876 provides dental coverage, under an order issued under Chapter 154,
877877 Family Code, or enforceable by a court in this state.
878878 SECTION 56. Section 1201.063, Insurance Code, is amended to
879879 read as follows:
880880 Sec. 1201.063. PROHIBITION OF CERTAIN CRITERIA RELATING TO
881881 CHILD'S COVERAGE IN INDIVIDUAL OR GROUP POLICY. Regarding a
882882 natural or adopted child of an insured or group member or a child
883883 for whom the insured or group member must provide medical support or
884884 dental support, if the policy provides dental coverage, under an
885885 order issued under Chapter 154, Family Code, or enforceable by a
886886 court in this state, an individual or group accident and health
887887 insurance policy that provides coverage for a child of an insured or
888888 group member may not set a different premium for the child, exclude
889889 the child from coverage, or discontinue coverage of the child
890890 because:
891891 (1) the child does not reside with the insured or group
892892 member; or
893893 (2) the insured or group member does not claim the
894894 child as an exemption for federal income tax purposes under Section
895895 151(c)(1)(B), Internal Revenue Code of 1986.
896896 SECTION 57. The heading to Chapter 1504, Insurance Code, is
897897 amended to read as follows:
898898 CHAPTER 1504. MEDICAL AND DENTAL CHILD SUPPORT
899899 SECTION 58. Subdivision (4), Section 1504.001, Insurance
900900 Code, is amended to read as follows:
901901 (4) "Benefit [Health benefit] plan issuer" means:
902902 (A) an insurance company, group hospital service
903903 corporation, or health maintenance organization that delivers or
904904 issues for delivery an individual, group, blanket, or franchise
905905 insurance policy or agreement, a group hospital service contract,
906906 or an evidence of coverage that provides benefits for medical or
907907 surgical expenses incurred as a result of an accident or sickness,
908908 or dental expenses;
909909 (B) a governmental entity subject to Subchapter
910910 D, Chapter 1355, Subchapter C, Chapter 1364, Chapter 1578, Article
911911 3.51-1, 3.51-4, or 3.51-5, or Chapter 177, Local Government Code;
912912 (C) the issuer of a multiple employer welfare
913913 arrangement as defined by Section 846.001; or
914914 (D) the issuer of a group health plan as defined
915915 by Section 607, Employee Retirement Income Security Act of 1974 (29
916916 U.S.C. Section 1167).
917917 SECTION 59. Subsection (b), Section 1504.002, Insurance
918918 Code, is amended to read as follows:
919919 (b) The commissioner shall adopt rules that define
920920 "comparable health or dental coverage" in a manner that:
921921 (1) is consistent with federal law; and
922922 (2) complies with the requirements necessary to
923923 maintain federal Medicaid funding.
924924 SECTION 60. Section 1504.003, Insurance Code, is amended to
925925 read as follows:
926926 Sec. 1504.003. VIOLATION OF CHAPTER: RELIEF AVAILABLE TO
927927 INJURED PERSON. A [health] benefit plan issuer that violates this
928928 chapter is subject to the same penalties, and an injured person has
929929 the same rights and remedies, as those provided by Subchapter D,
930930 Chapter 541.
931931 SECTION 61. The heading to Subchapter B, Chapter 1504,
932932 Insurance Code, is amended to read as follows:
933933 SUBCHAPTER B. DUTIES OF [HEALTH] BENEFIT PLAN ISSUER
934934 SECTION 62. Section 1504.051, Insurance Code, is amended to
935935 read as follows:
936936 Sec. 1504.051. ENROLLMENT OF CERTAIN CHILDREN REQUIRED.
937937 (a) A [health] benefit plan issuer shall permit a parent to enroll
938938 a child in dependent health or dental coverage offered through the
939939 issuer regardless of any enrollment period restriction if the
940940 parent is:
941941 (1) eligible for dependent health or dental coverage;
942942 and
943943 (2) required by a court order or administrative order
944944 to provide health or dental insurance coverage for the child.
945945 (b) A [health] benefit plan issuer shall enroll a child of a
946946 parent described by Subsection (a) in dependent health or dental
947947 coverage offered through the issuer if:
948948 (1) the parent does not apply to obtain health or
949949 dental coverage for the child through the issuer; and
950950 (2) the child, a custodial parent of the child, or a
951951 child support agency having a duty to collect or enforce support for
952952 the child applies for the coverage.
953953 SECTION 63. Section 1504.052, Insurance Code, is amended to
954954 read as follows:
955955 Sec. 1504.052. CHILD RESIDING OUTSIDE SERVICE AREA;
956956 COMPARABLE HEALTH OR DENTAL COVERAGE REQUIRED. (a) A [health]
957957 benefit plan issuer may not deny enrollment of a child under the
958958 health or dental coverage of the child's parent on the ground that
959959 the child does not reside in the issuer's service area.
960960 (b) A [health] benefit plan issuer may not enforce an
961961 otherwise applicable provision of the health or dental coverage
962962 that would deny, limit, or reduce payment of a claim for a covered
963963 child who resides outside the issuer's service area but inside the
964964 United States.
965965 (c) For a covered child who resides outside the [health]
966966 benefit plan issuer's service area and whose coverage under a
967967 policy or plan is required by a medical support order or dental
968968 support order, the issuer shall provide coverage that is comparable
969969 health or dental coverage to that provided to other dependents
970970 under the policy or plan.
971971 (d) Comparable health or dental coverage may include
972972 coverage in which a [health] benefit plan issuer uses different
973973 procedures for service delivery and health care provider
974974 reimbursement. Comparable health or dental coverage may not
975975 include coverage:
976976 (1) that is limited to emergency services only; or
977977 (2) for which the issuer charges a higher premium.
978978 SECTION 64. Section 1504.053, Insurance Code, is amended to
979979 read as follows:
980980 Sec. 1504.053. CANCELLATION OR NONRENEWAL OF COVERAGE FOR
981981 CERTAIN CHILDREN. (a) A [health] benefit plan issuer may not
982982 cancel or refuse to renew health or dental coverage provided to a
983983 child who is enrolled or entitled to enrollment under this chapter
984984 unless satisfactory written evidence is filed with the issuer
985985 showing that:
986986 (1) the court or administrative order that required
987987 the coverage is not in effect; or
988988 (2) the child:
989989 (A) is enrolled in comparable health or dental
990990 coverage; or
991991 (B) will be enrolled in comparable health or
992992 dental coverage that takes effect not later than the effective date
993993 of the cancellation or nonrenewal.
994994 (b) For purposes of this section, a child is not enrolled or
995995 entitled to enrollment under this chapter if the child's
996996 eligibility for health or dental coverage ends because the parent
997997 ceases to be eligible for dependent health or dental coverage.
998998 SECTION 65. Section 1504.054, Insurance Code, is amended to
999999 read as follows:
10001000 Sec. 1504.054. CONTINUATION OR CONVERSION OF COVERAGE.
10011001 (a) If a child's eligibility for dependent health or dental
10021002 coverage ends because the parent ceases to be eligible for the
10031003 coverage and the coverage provides for the continuation or
10041004 conversion of the coverage for the child, the [health] benefit plan
10051005 issuer shall notify the custodial parent and the child support
10061006 agency of the costs and other requirements for continuing or
10071007 converting the coverage.
10081008 (b) The [health] benefit plan issuer shall, on application
10091009 of a parent of the child, a child support agency, or the child,
10101010 enroll or continue enrollment of a child whose eligibility for
10111011 coverage ended under Subsection (a).
10121012 SECTION 66. Section 1504.055, Insurance Code, is amended to
10131013 read as follows:
10141014 Sec. 1504.055. PROCEDURE FOR CLAIMS. (a) A [health]
10151015 benefit plan issuer that provides health or dental coverage to a
10161016 child through a covered parent of the child shall:
10171017 (1) provide to each custodial parent of the child or to
10181018 an adult child documents and other information necessary for the
10191019 child to obtain benefits under the coverage, including:
10201020 (A) the name of the issuer;
10211021 (B) the number of the policy or evidence of
10221022 coverage;
10231023 (C) a copy of the policy or evidence of coverage
10241024 and schedule of benefits;
10251025 (D) a health or dental coverage membership card;
10261026 (E) claim forms; and
10271027 (F) any other document or information necessary
10281028 to submit a claim in accordance with the issuer's policies and
10291029 procedures;
10301030 (2) permit a custodial parent, health care provider,
10311031 state agency that has been assigned medical or dental support
10321032 rights, or adult child to submit claims for covered services
10331033 without the approval of the covered parent; and
10341034 (3) make payments on covered claims submitted in
10351035 accordance with this subsection directly to a custodial parent,
10361036 health care or dental care provider, adult child, or state agency
10371037 making a claim.
10381038 (b) A [health] benefit plan issuer shall provide to a state
10391039 agency that provides medical assistance, including medical
10401040 assistance for dental services, to the child or shall provide to a
10411041 child support agency that enforces medical or dental support on
10421042 behalf of a child the information necessary to obtain reimbursement
10431043 of medical or dental services provided to or paid on behalf of the
10441044 child.
10451045 SECTION 67. Section 1504.101, Insurance Code, is amended to
10461046 read as follows:
10471047 Sec. 1504.101. DENIAL OF ENROLLMENT ON CERTAIN GROUNDS
10481048 PROHIBITED. A [health] benefit plan issuer may not deny enrollment
10491049 of a child under the health or dental coverage of the child's parent
10501050 on the ground that the child:
10511051 (1) has a preexisting condition;
10521052 (2) was born out of wedlock;
10531053 (3) is not claimed as a dependent on the parent's
10541054 federal income tax return;
10551055 (4) does not reside with the parent; or
10561056 (5) receives or has applied for medical assistance.
10571057 SECTION 68. Section 1504.102, Insurance Code, is amended to
10581058 read as follows:
10591059 Sec. 1504.102. ASSIGNMENT OF MEDICAL OR DENTAL SUPPORT
10601060 RIGHTS: DIFFERENT REQUIREMENTS PROHIBITED. A [health] benefit
10611061 plan issuer may not require a state agency that has been assigned
10621062 the rights of an individual who is eligible for medical assistance
10631063 and is covered for health or dental benefits from the issuer to
10641064 comply with a requirement that is different from a requirement
10651065 imposed on an agent or assignee of any other covered individual.
10661066 SECTION 69. Section 402.085, Labor Code, is amended to read
10671067 as follows:
10681068 Sec. 402.085. EXCEPTIONS TO CONFIDENTIALITY. (a) The
10691069 division shall release information on a claim to:
10701070 (1) the Texas Department of Insurance for any
10711071 statutory or regulatory purpose, including a research purpose under
10721072 Chapter 405;
10731073 (2) a legislative committee for legislative purposes;
10741074 (3) a state or federal elected official requested in
10751075 writing to provide assistance by a constituent who qualifies to
10761076 obtain injury information under Section 402.084(b), if the request
10771077 for assistance is provided to the division;
10781078 (4) the attorney general or another entity that
10791079 provides child support services under Part D, Title IV, Social
10801080 Security Act (42 U.S.C. Section 651 et seq.), relating to:
10811081 (A) establishing, modifying, or enforcing a
10821082 child support, [or] medical support, or dental support obligation;
10831083 or
10841084 (B) locating an absent parent; or
10851085 (5) the office of injured employee counsel for any
10861086 statutory or regulatory purpose that relates to a duty of that
10871087 office.
10881088 (b) The division may release information on a claim to a
10891089 governmental agency, political subdivision, or regulatory body to
10901090 use to:
10911091 (1) investigate an allegation of a criminal offense or
10921092 licensing or regulatory violation;
10931093 (2) provide:
10941094 (A) unemployment compensation benefits;
10951095 (B) crime victims compensation benefits;
10961096 (C) vocational rehabilitation services; or
10971097 (D) health care benefits;
10981098 (3) investigate occupational safety or health
10991099 violations;
11001100 (4) verify income on an application for benefits under
11011101 an income-based state or federal assistance program; or
11021102 (5) assess financial resources in an action, including
11031103 an administrative action, to:
11041104 (A) establish, modify, or enforce a child
11051105 support, [or] medical support, or dental support obligation;
11061106 (B) establish paternity;
11071107 (C) locate an absent parent; or
11081108 (D) cooperate with another state in an action
11091109 authorized under Part D, Title IV, Social Security Act (42 U.S.C.
11101110 Section 651 et seq.), or Chapter 231, Family Code.
11111111 SECTION 70. (a) The changes in law made by this Act apply
11121112 to a suit affecting the parent-child relationship filed on or after
11131113 the effective date of this Act. A suit affecting the parent-child
11141114 relationship filed before the effective date of this Act is
11151115 governed by the law in effect on the date the suit was filed, and the
11161116 former law is continued in effect for that purpose.
11171117 (b) The change in law made by this Act does not by itself
11181118 constitute a material and substantial change of circumstances under
11191119 Section 156.401, Family Code, sufficient to warrant modification of
11201120 a court order or a portion of a decree that provides for the support
11211121 of a child rendered before the effective date of this Act.
11221122 SECTION 71. This Act takes effect September 1, 2011.