Texas 2013 - 83rd Regular

Texas Senate Bill SB774 Compare Versions

The same version is selected twice. Please select two different versions to compare.
OldNewDifferences
11 83R30035 KKA-F
22 By: Uresti S.B. No. 774
33 (Guillen)
44 Substitute the following for S.B. No. 774: No.
55
66
77 A BILL TO BE ENTITLED
88 AN ACT
99 relating to requiring dental support for a child subject to a child
1010 support order.
1111 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1212 SECTION 1. Subsection (e), Section 54.06, Family Code, is
1313 amended to read as follows:
1414 (e) The court shall apply the child support guidelines under
1515 Subchapter C, Chapter 154, in an order requiring the payment of
1616 child support under this section. The court shall also require in
1717 an order to pay child support under this section that health
1818 insurance and dental insurance be provided for the child.
1919 Subchapter D, Chapter 154, applies to an order requiring health
2020 insurance and dental insurance for a child under this section.
2121 SECTION 2. Section 101.006, Family Code, is amended to read
2222 as follows:
2323 Sec. 101.006. CHILD SUPPORT SERVICES. "Child support
2424 services" means administrative or court actions to:
2525 (1) establish paternity;
2626 (2) establish, modify, or enforce child support, [or]
2727 medical support, or dental support obligations;
2828 (3) locate absent parents; or
2929 (4) cooperate with other states in these actions and
3030 any other action authorized or required under Part D of Title IV of
3131 the federal Social Security Act (42 U.S.C. Section 651 et seq.) or
3232 Chapter 231.
3333 SECTION 3. Chapter 101, Family Code, is amended by adding
3434 Sections 101.0094 and 101.0095 to read as follows:
3535 Sec. 101.0094. DENTAL INSURANCE. "Dental insurance" means
3636 insurance coverage that provides preventive dental care and other
3737 dental services, including usual dentist services, office visits,
3838 examinations, X-rays, and emergency services, that may be provided
3939 through a single service health maintenance organization or other
4040 private or public organization.
4141 Sec. 101.0095. DENTAL SUPPORT. "Dental support" means
4242 periodic payments or a lump-sum payment made under an order to cover
4343 dental expenses, including dental insurance coverage, incurred for
4444 the benefit of a child.
4545 SECTION 4. Section 101.012, Family Code, is amended to read
4646 as follows:
4747 Sec. 101.012. EMPLOYER. "Employer" means a person,
4848 corporation, partnership, workers' compensation insurance carrier,
4949 governmental entity, the United States, or any other entity that
5050 pays or owes earnings to an individual. The term includes, for the
5151 purposes of enrolling dependents in a group health or dental
5252 insurance plan, a union, trade association, or other similar
5353 organization.
5454 SECTION 5. Subsection (b), Section 101.024, Family Code, is
5555 amended to read as follows:
5656 (b) For purposes of establishing, determining the terms of,
5757 modifying, or enforcing an order, a reference in this title to a
5858 parent includes a person ordered to pay child support under Section
5959 154.001(a-1) or to provide medical support or dental support for a
6060 child.
6161 SECTION 6. Section 101.034, Family Code, is amended to read
6262 as follows:
6363 Sec. 101.034. TITLE IV-D CASE. "Title IV-D case" means an
6464 action in which services are provided by the Title IV-D agency under
6565 Part D, Title IV, of the federal Social Security Act (42 U.S.C.
6666 Section 651 et seq.), relating to the location of an absent parent,
6767 determination of parentage, or establishment, modification, or
6868 enforcement of a child support, [or] medical support, or dental
6969 support obligation.
7070 SECTION 7. Section 153.611, Family Code, is amended to read
7171 as follows:
7272 Sec. 153.611. EXCEPTION FOR CERTAIN TITLE IV-D PROCEEDINGS.
7373 Notwithstanding any other provision of this subchapter, this
7474 subchapter does not apply to a proceeding in a Title IV-D case
7575 relating to the determination of parentage or establishment,
7676 modification, or enforcement of a child support, [or] medical
7777 support, or dental support obligation.
7878 SECTION 8. Section 154.008, Family Code, is amended to read
7979 as follows:
8080 Sec. 154.008. PROVISION FOR MEDICAL SUPPORT AND DENTAL
8181 SUPPORT. The court shall order medical support and dental support
8282 for the child as provided by Subchapters B and D.
8383 SECTION 9. Subsection (c), Section 154.015, Family Code, is
8484 amended to read as follows:
8585 (c) For purposes of this section, the court of continuing
8686 jurisdiction shall determine the amount of the unpaid child support
8787 obligation for each child of the deceased obligor. In determining
8888 the amount of the unpaid child support obligation, the court shall
8989 consider all relevant factors, including:
9090 (1) the present value of the total amount of monthly
9191 periodic child support payments that would become due between the
9292 month in which the obligor dies and the month in which the child
9393 turns 18 years of age, based on the amount of the periodic monthly
9494 child support payments under the child support order in effect on
9595 the date of the obligor's death;
9696 (2) the present value of the total amount of health
9797 insurance and dental insurance premiums payable for the benefit of
9898 the child from the month in which the obligor dies until the month
9999 in which the child turns 18 years of age, based on the cost of health
100100 insurance and dental insurance for the child ordered to be paid on
101101 the date of the obligor's death;
102102 (3) in the case of a disabled child under 18 years of
103103 age or an adult disabled child, an amount to be determined by the
104104 court under Section 154.306;
105105 (4) the nature and amount of any benefit to which the
106106 child would be entitled as a result of the obligor's death,
107107 including life insurance proceeds, annuity payments, trust
108108 distributions, social security death benefits, and retirement
109109 survivor benefits; and
110110 (5) any other financial resource available for the
111111 support of the child.
112112 SECTION 10. Subsection (b), Section 154.016, Family Code,
113113 is amended to read as follows:
114114 (b) In determining the nature and extent of the obligation
115115 to provide for the support of the child in the event of the death of
116116 the obligor, the court shall consider all relevant factors,
117117 including:
118118 (1) the present value of the total amount of monthly
119119 periodic child support payments from the date the child support
120120 order is rendered until the month in which the child turns 18 years
121121 of age, based on the amount of the periodic monthly child support
122122 payment under the child support order;
123123 (2) the present value of the total amount of health
124124 insurance and dental insurance premiums payable for the benefit of
125125 the child from the date the child support order is rendered until
126126 the month in which the child turns 18 years of age, based on the cost
127127 of health insurance and dental insurance for the child ordered to be
128128 paid; and
129129 (3) in the case of a disabled child under 18 years of
130130 age or an adult disabled child, an amount to be determined by the
131131 court under Section 154.306.
132132 SECTION 11. Subsections (d) and (e), Section 154.062,
133133 Family Code, are amended to read as follows:
134134 (d) The court shall deduct the following items from
135135 resources to determine the net resources available for child
136136 support:
137137 (1) social security taxes;
138138 (2) federal income tax based on the tax rate for a
139139 single person claiming one personal exemption and the standard
140140 deduction;
141141 (3) state income tax;
142142 (4) union dues;
143143 (5) expenses for the cost of health insurance, dental
144144 insurance, or cash medical support for the obligor's child ordered
145145 by the court under Sections [Section] 154.182 and 154.1825; and
146146 (6) if the obligor does not pay social security taxes,
147147 nondiscretionary retirement plan contributions.
148148 (e) In calculating the amount of the deduction for health
149149 care or dental coverage for a child under Subsection (d)(5), if the
150150 obligor has other minor dependents covered under the same health or
151151 dental insurance plan, the court shall divide the total cost to the
152152 obligor for the insurance by the total number of minor dependents,
153153 including the child, covered under the plan.
154154 SECTION 12. Section 154.064, Family Code, is amended to
155155 read as follows:
156156 Sec. 154.064. MEDICAL SUPPORT AND DENTAL SUPPORT FOR CHILD
157157 PRESUMPTIVELY PROVIDED BY OBLIGOR. The guidelines for support of a
158158 child are based on the assumption that the court will order the
159159 obligor to provide medical support and dental support for the child
160160 in addition to the amount of child support calculated in accordance
161161 with those guidelines.
162162 SECTION 13. The heading to Subchapter D, Chapter 154,
163163 Family Code, is amended to read as follows:
164164 SUBCHAPTER D. MEDICAL SUPPORT AND DENTAL SUPPORT FOR CHILD
165165 SECTION 14. Subchapter D, Chapter 154, Family Code, is
166166 amended by adding Section 154.1815 to read as follows:
167167 Sec. 154.1815. DENTAL SUPPORT ORDER. (a) In this section,
168168 "reasonable cost" means the cost of a dental insurance premium that
169169 does not exceed 1.5 percent of the obligor's annual resources, as
170170 described by Section 154.062(b), if the obligor is responsible
171171 under a dental support order for the cost of dental insurance
172172 coverage for only one child. If the obligor is responsible under a
173173 dental support order for the cost of dental insurance coverage for
174174 more than one child, "reasonable cost" means the total cost of
175175 dental insurance coverage for all children for which the obligor is
176176 responsible under a dental support order that does not exceed 1.5
177177 percent of the obligor's annual resources, as described by Section
178178 154.062(b).
179179 (b) In a suit affecting the parent-child relationship or in
180180 a proceeding under Chapter 159, the court shall render an order for
181181 the dental support of the child as provided by this section and
182182 Section 154.1825.
183183 (c) Before a hearing on temporary orders, or a final order
184184 if no hearing on temporary orders is held, the court shall require
185185 the parties to the proceedings to disclose in a pleading or other
186186 document whether the child is covered by dental insurance and, if
187187 the child is covered, the identity of the insurer providing the
188188 coverage, the policy number, which parent is responsible for
189189 payment of any insurance premium for the coverage, whether the
190190 coverage is provided through a parent's employment, and the cost of
191191 the premium. If dental insurance is not in effect for the child,
192192 the parties must disclose to the court whether either parent has
193193 access to dental insurance at a reasonable cost to the obligor.
194194 (d) In rendering temporary orders, the court shall, except
195195 for good cause shown, order that any dental insurance coverage in
196196 effect for the child continue in effect pending the rendition of a
197197 final order, except that the court may not require the continuation
198198 of any dental insurance that is not available to the parent at a
199199 reasonable cost to the obligor. If dental insurance coverage is not
200200 in effect for the child or if the insurance in effect is not
201201 available at a reasonable cost to the obligor, the court shall,
202202 except for good cause shown, order dental insurance coverage for
203203 the child as provided by Section 154.1825.
204204 (e) On rendering a final order the court shall:
205205 (1) make specific findings with respect to the manner
206206 in which dental insurance coverage is to be provided for the child,
207207 in accordance with the priorities identified under Section
208208 154.1825; and
209209 (2) except for good cause shown or on agreement of the
210210 parties, require the parent ordered to provide dental insurance
211211 coverage for the child as provided by Section 154.1825 to produce
212212 evidence to the court's satisfaction that the parent has applied
213213 for or secured dental insurance or has otherwise taken necessary
214214 action to provide for dental insurance coverage for the child, as
215215 ordered by the court.
216216 SECTION 15. Subchapter D, Chapter 154, Family Code, is
217217 amended by adding Section 154.1825 to read as follows:
218218 Sec. 154.1825. DENTAL CARE COVERAGE FOR CHILD. (a) In
219219 this section:
220220 (1) "Accessibility" means the extent to which dental
221221 insurance coverage for a child provides for the availability of
222222 dental care within a reasonable traveling distance and time from
223223 the child's primary residence, as determined by the court.
224224 (2) "Reasonable cost" has the meaning assigned by
225225 Section 154.1815(a).
226226 (b) The court shall consider the cost, accessibility, and
227227 quality of dental insurance coverage available to the parties and
228228 shall give priority to dental insurance coverage available through
229229 the employment of one of the parties if the coverage is available at
230230 a reasonable cost to the obligor.
231231 (c) In determining the manner in which dental care coverage
232232 for the child is to be ordered, the court shall render its order in
233233 accordance with the following priorities, unless a party shows good
234234 cause why a particular order is not in the best interest of the
235235 child:
236236 (1) if dental insurance is available for the child
237237 through a parent's employment or membership in a union, trade
238238 association, or other organization at reasonable cost, the court
239239 shall order that parent to include the child in the parent's dental
240240 insurance; or
241241 (2) if dental insurance is not available for the child
242242 under Subdivision (1) but is available to a parent from another
243243 source and at a reasonable cost, the court may order that parent to
244244 provide dental insurance for the child.
245245 (d) If the parent ordered to provide dental insurance under
246246 Subsection (c)(1) or (2) is the obligee, the court shall order the
247247 obligor to pay the obligee, as additional child support, an amount
248248 equal to the actual cost of dental insurance for the child, but not
249249 to exceed a reasonable cost to the obligor. In calculating the
250250 actual cost of dental insurance for the child, if the obligee has
251251 other minor dependents covered under the same dental insurance
252252 plan, the court shall divide the total cost to the obligee for the
253253 insurance by the total number of minor dependents, including the
254254 child covered under the plan.
255255 SECTION 16. Section 154.183, Family Code, is amended to
256256 read as follows:
257257 Sec. 154.183. MEDICAL AND DENTAL SUPPORT ADDITIONAL SUPPORT
258258 DUTY OF OBLIGOR. (a) An amount that an obligor is ordered to pay
259259 as medical support or dental support for the child under this
260260 chapter, including the costs of health insurance coverage or cash
261261 medical support under Section 154.182 and the costs of dental
262262 insurance under Section 154.1825:
263263 (1) is in addition to the amount that the obligor is
264264 required to pay for child support under the guidelines for child
265265 support;
266266 (2) is a child support obligation; and
267267 (3) may be enforced by any means available for the
268268 enforcement of child support, including withholding from earnings
269269 under Chapter 158.
270270 (b) If the court finds and states in the child support order
271271 that the obligee will maintain health insurance coverage, dental
272272 insurance coverage, or both, for the child at the obligee's
273273 expense, the court shall increase the amount of child support to be
274274 paid by the obligor in an amount not exceeding the actual cost to
275275 the obligee for maintaining the [health insurance] coverage, as
276276 provided under Sections [Section] 154.182(b-1) and 154.1825(d).
277277 (c) As additional child support, the court shall allocate
278278 between the parties, according to their circumstances:
279279 (1) the reasonable and necessary health care expenses,
280280 including vision and dental expenses, of the child that are not
281281 reimbursed by health or dental insurance or are not otherwise
282282 covered by the amount of cash medical support ordered under Section
283283 154.182 [154.182(b)(3)]; and
284284 (2) amounts paid by either party as deductibles or
285285 copayments in obtaining health care or dental care services for the
286286 child covered under a health insurance or dental insurance policy.
287287 SECTION 17. Subsections (a) and (b), Section 154.184,
288288 Family Code, are amended to read as follows:
289289 (a) Receipt of a medical support order requiring that health
290290 insurance be provided for a child or a dental support order
291291 requiring that dental insurance be provided for a child shall be
292292 considered a change in the family circumstances of the employee or
293293 member, for health insurance purposes and dental insurance
294294 purposes, equivalent to the birth or adoption of a child.
295295 (b) If the employee or member is eligible for dependent
296296 health coverage or dependent dental coverage, the employer shall
297297 automatically enroll the child for the first 31 days after the
298298 receipt of the order or notice of the medical support order or the
299299 dental support order under Section 154.186 on the same terms and
300300 conditions as apply to any other dependent child.
301301 SECTION 18. Section 154.185, Family Code, is amended to
302302 read as follows:
303303 Sec. 154.185. PARENT TO FURNISH INFORMATION. (a) The
304304 court shall order a parent providing health insurance or dental
305305 insurance to furnish to either the obligee, obligor, or child
306306 support agency the following information not later than the 30th
307307 day after the date the notice of rendition of the order is received:
308308 (1) the social security number of the parent;
309309 (2) the name and address of the parent's employer;
310310 (3) with regard to health insurance:
311311 (A) whether the employer is self-insured or has
312312 health insurance available;
313313 (B) [(4)] proof that health insurance has been
314314 provided for the child;
315315 (C) [(5)] if the employer has health insurance
316316 available, the name of the health insurance carrier, the number of
317317 the policy, a copy of the policy and schedule of benefits, a health
318318 insurance membership card, claim forms, and any other information
319319 necessary to submit a claim; and
320320 (D) [(6)] if the employer is self-insured, a copy
321321 of the schedule of benefits, a membership card, claim forms, and any
322322 other information necessary to submit a claim; and
323323 (4) with regard to dental insurance:
324324 (A) whether the employer is self-insured or has
325325 dental insurance available;
326326 (B) proof that dental insurance has been provided
327327 for the child;
328328 (C) if the employer has dental insurance
329329 available, the name of the dental insurance carrier, the number of
330330 the policy, a copy of the policy and schedule of benefits, a dental
331331 insurance membership card, claim forms, and any other information
332332 necessary to submit a claim; and
333333 (D) if the employer is self-insured, a copy of
334334 the schedule of benefits, a membership card, claim forms, and any
335335 other information necessary to submit a claim.
336336 (b) The court shall also order a parent providing health
337337 insurance or dental insurance to furnish the obligor, obligee, or
338338 child support agency with additional information regarding the
339339 health insurance coverage or dental insurance coverage not later
340340 than the 15th day after the date the information is received by the
341341 parent.
342342 SECTION 19. The heading to Section 154.186, Family Code, is
343343 amended to read as follows:
344344 Sec. 154.186. NOTICE TO EMPLOYER CONCERNING MEDICAL SUPPORT
345345 OR DENTAL SUPPORT.
346346 SECTION 20. Subsection (a), Section 154.186, Family Code,
347347 is amended to read as follows:
348348 (a) The obligee, obligor, or a child support agency of this
349349 state or another state may send to the employer a copy of the order
350350 requiring an employee to provide health insurance coverage or
351351 dental insurance coverage for a child or may include notice of the
352352 medical support order or dental support order in an order or writ of
353353 withholding sent to the employer in accordance with Chapter 158.
354354 SECTION 21. Subsections (a), (b), (c), (d), (e), and (g),
355355 Section 154.187, Family Code, are amended to read as follows:
356356 (a) An order or notice under this subchapter to an employer
357357 directing that health insurance coverage or dental insurance
358358 coverage be provided to a child of an employee or member is binding
359359 on a current or subsequent employer on receipt without regard to the
360360 date the order was rendered. If the employee or member is eligible
361361 for dependent health coverage or dental coverage for the child, the
362362 employer shall immediately enroll the child in a health insurance
363363 plan or dental insurance plan regardless of whether the employee is
364364 enrolled in the plan. If dependent coverage is not available to the
365365 employee or member through the employer's health insurance plan or
366366 dental insurance plan or enrollment cannot be made permanent or if
367367 the employer is not responsible or otherwise liable for providing
368368 such coverage, the employer shall provide notice to the sender in
369369 accordance with Subsection (c).
370370 (b) If additional premiums are incurred as a result of
371371 adding the child to the health insurance plan or the dental
372372 insurance plan, the employer shall deduct the health insurance
373373 premium or the dental insurance premium from the earnings of the
374374 employee in accordance with Chapter 158 and apply the amount
375375 withheld to payment of the insurance premium.
376376 (c) An employer who has received an order or notice under
377377 this subchapter shall provide to the sender, by first class mail not
378378 later than the 40th day after the date the employer receives the
379379 order or notice, a statement that the child:
380380 (1) has been enrolled in the employer's health
381381 insurance plan or dental insurance plan, or is already enrolled in
382382 another health insurance plan or dental insurance plan in
383383 accordance with a previous child support, [or] medical support, or
384384 dental support order to which the employee is subject; or
385385 (2) cannot be enrolled or cannot be enrolled
386386 permanently in the employer's health insurance plan or dental
387387 insurance plan and provide the reason why coverage or permanent
388388 coverage cannot be provided.
389389 (d) If the employee ceases employment or if the health
390390 insurance coverage or dental insurance coverage lapses, the
391391 employer shall provide to the sender, by first class mail not later
392392 than the 15th day after the date of the termination of employment or
393393 the lapse of the coverage, notice of the termination or lapse and of
394394 the availability of any conversion privileges.
395395 (e) On request, the employer shall release to the sender
396396 information concerning the available health insurance coverage or
397397 dental insurance coverage, including the name of the health
398398 insurance carrier or dental insurance carrier, the policy number, a
399399 copy of the policy and schedule of benefits, a health insurance or
400400 dental insurance membership card, and claim forms.
401401 (g) An employer who fails to enroll a child, fails to
402402 withhold or remit premiums or cash medical support, or
403403 discriminates in hiring or employment on the basis of a medical
404404 support order or notice or a dental support order or notice under
405405 this subchapter shall be subject to the penalties and fines in
406406 Subchapter C, Chapter 158.
407407 SECTION 22. Section 154.188, Family Code, is amended to
408408 read as follows:
409409 Sec. 154.188. FAILURE TO PROVIDE OR PAY FOR REQUIRED HEALTH
410410 INSURANCE OR DENTAL INSURANCE. A parent ordered to provide health
411411 insurance or dental insurance or to pay the other parent additional
412412 child support for the cost of health insurance or dental insurance
413413 who fails to do so is liable for:
414414 (1) necessary medical expenses or dental expenses of
415415 the child, without regard to whether the expenses would have been
416416 paid if health insurance or dental insurance had been provided; and
417417 (2) the cost of health insurance premiums, dental
418418 insurance premiums, or contributions, if any, paid on behalf of the
419419 child.
420420 SECTION 23. Section 154.189, Family Code, is amended to
421421 read as follows:
422422 Sec. 154.189. NOTICE OF TERMINATION OR LAPSE OF INSURANCE
423423 COVERAGE. (a) An obligor ordered to provide health insurance
424424 coverage or dental insurance coverage for a child must notify the
425425 obligee and any child support agency enforcing a support obligation
426426 against the obligor of the:
427427 (1) termination or lapse of health insurance coverage
428428 or dental insurance coverage for the child not later than the 15th
429429 day after the date of a termination or lapse; and
430430 (2) availability of additional health insurance or
431431 dental insurance to the obligor for the child after a termination or
432432 lapse of coverage not later than the 15th day after the date the
433433 insurance becomes available.
434434 (b) If termination of coverage results from a change of
435435 employers, the obligor, the obligee, or the child support agency
436436 may send the new employer a copy of the order requiring the employee
437437 to provide health insurance or dental insurance for a child or
438438 notice of the medical support order or the dental support order as
439439 provided by this subchapter.
440440 SECTION 24. Section 154.190, Family Code, is amended to
441441 read as follows:
442442 Sec. 154.190. REENROLLING CHILD FOR INSURANCE COVERAGE.
443443 After health insurance or dental insurance has been terminated or
444444 has lapsed, an obligor ordered to provide health insurance coverage
445445 or dental insurance coverage for the child must enroll the child in
446446 a health insurance plan or a dental insurance plan at the next
447447 available enrollment period.
448448 SECTION 25. Section 154.191, Family Code, is amended to
449449 read as follows:
450450 Sec. 154.191. REMEDY NOT EXCLUSIVE. (a) This subchapter
451451 does not limit the rights of the obligor, obligee, local domestic
452452 relations office, or Title IV-D agency to enforce, modify, or
453453 clarify the medical support order or dental support order.
454454 (b) This subchapter does not limit the authority of the
455455 court to render or modify a medical support order or dental support
456456 order to provide for payment of uninsured health expenses, health
457457 care costs, [or] health insurance premiums, uninsured dental
458458 expenses, dental costs, or dental insurance premiums in a manner
459459 consistent with this subchapter.
460460 SECTION 26. Section 154.192, Family Code, is amended to
461461 read as follows:
462462 Sec. 154.192. CANCELLATION OR ELIMINATION OF INSURANCE
463463 COVERAGE FOR CHILD. [(a)] Unless the employee or member ceases to
464464 be eligible for dependent coverage, or the employer has eliminated
465465 dependent health coverage or dental coverage for all of the
466466 employer's employees or members, the employer may not cancel or
467467 eliminate coverage of a child enrolled under this subchapter until
468468 the employer is provided satisfactory written evidence that:
469469 (1) the court order or administrative order requiring
470470 the coverage is no longer in effect; or
471471 (2) the child is enrolled in comparable [health]
472472 insurance coverage or will be enrolled in comparable coverage that
473473 will take effect not later than the effective date of the
474474 cancellation or elimination of the employer's coverage.
475475 SECTION 27. The heading to Section 154.193, Family Code, is
476476 amended to read as follows:
477477 Sec. 154.193. MEDICAL SUPPORT ORDER OR DENTAL SUPPORT ORDER
478478 NOT QUALIFIED.
479479 SECTION 28. Subsection (a), Section 154.193, Family Code,
480480 is amended to read as follows:
481481 (a) If a plan administrator or other person acting in an
482482 equivalent position determines that a medical support order or
483483 dental support order issued under this subchapter does not qualify
484484 for enforcement under federal law, the tribunal may, on its own
485485 motion or the motion of a party, render an order that qualifies for
486486 enforcement under federal law.
487487 SECTION 29. Subsections (a) and (a-2), Section 156.401,
488488 Family Code, are amended to read as follows:
489489 (a) Except as provided by Subsection (a-1), (a-2), or (b),
490490 the court may modify an order that provides for the support of a
491491 child, including an order for health care coverage under Section
492492 154.182 or an order for dental care coverage under Section
493493 154.1825, if:
494494 (1) the circumstances of the child or a person
495495 affected by the order have materially and substantially changed
496496 since the earlier of:
497497 (A) the date of the order's rendition; or
498498 (B) the date of the signing of a mediated or
499499 collaborative law settlement agreement on which the order is based;
500500 or
501501 (2) it has been three years since the order was
502502 rendered or last modified and the monthly amount of the child
503503 support award under the order differs by either 20 percent or $100
504504 from the amount that would be awarded in accordance with the child
505505 support guidelines.
506506 (a-2) A court or administrative order for child support in a
507507 Title IV-D case may be modified as provided under Section
508508 233.013(c) to provide for medical support or dental support for
509509 [of] a child.
510510 SECTION 30. Section 157.269, Family Code, is amended to
511511 read as follows:
512512 Sec. 157.269. RETENTION OF JURISDICTION. A court that
513513 renders an order providing for the payment of child support retains
514514 continuing jurisdiction to enforce the order, including by
515515 adjusting the amount of the periodic payments to be made by the
516516 obligor or the amount to be withheld from the obligor's disposable
517517 earnings, until all current support, [and] medical support, dental
518518 support, and child support arrearages, including interest and any
519519 applicable fees and costs, have been paid.
520520 SECTION 31. Subsections (a) and (b), Section 158.206,
521521 Family Code, are amended to read as follows:
522522 (a) An employer receiving an order or a writ of withholding
523523 under this chapter, including an order or writ directing that
524524 health insurance or dental insurance be provided to a child, who
525525 complies with the order or writ is not liable to the obligor for the
526526 amount of income withheld and paid as required by the order or writ.
527527 (b) An employer receiving an order or writ of withholding
528528 who does not comply with the order or writ is liable:
529529 (1) to the obligee for the amount not paid in
530530 compliance with the order or writ, including the amount the obligor
531531 is required to pay for health insurance or dental insurance under
532532 Chapter 154;
533533 (2) to the obligor for:
534534 (A) the amount withheld and not paid as required
535535 by the order or writ; and
536536 (B) an amount equal to the interest that accrues
537537 under Section 157.265 on the amount withheld and not paid; and
538538 (3) for reasonable attorney's fees and court costs.
539539 SECTION 32. Section 158.302, Family Code, is amended to
540540 read as follows:
541541 Sec. 158.302. CONTENTS OF NOTICE OF APPLICATION FOR
542542 JUDICIAL WRIT OF WITHHOLDING. The notice of application for
543543 judicial writ of withholding shall be verified and:
544544 (1) state the amount of monthly support due, including
545545 medical support and dental support, the amount of arrearages or
546546 anticipated arrearages, including accrued interest, and the amount
547547 of wages that will be withheld in accordance with a judicial writ of
548548 withholding;
549549 (2) state that the withholding applies to each current
550550 or subsequent employer or period of employment;
551551 (3) state that if the obligor does not contest the
552552 withholding within 10 days after the date of receipt of the notice,
553553 the obligor's employer will be notified to begin the withholding;
554554 (4) describe the procedures for contesting the
555555 issuance and delivery of a writ of withholding;
556556 (5) state that if the obligor contests the
557557 withholding, the obligor will be afforded an opportunity for a
558558 hearing by the court not later than the 30th day after the date of
559559 receipt of the notice of contest;
560560 (6) state that the sole ground for successfully
561561 contesting the issuance of a writ of withholding is a dispute
562562 concerning the identity of the obligor or the existence or amount of
563563 the arrearages, including accrued interest;
564564 (7) describe the actions that may be taken if the
565565 obligor contests the notice of application for judicial writ of
566566 withholding, including the procedures for suspending issuance of a
567567 writ of withholding; and
568568 (8) include with the notice a suggested form for the
569569 motion to stay issuance and delivery of the judicial writ of
570570 withholding that the obligor may file with the clerk of the
571571 appropriate court.
572572 SECTION 33. Subsection (c), Section 158.309, Family Code,
573573 is amended to read as follows:
574574 (c) Upon hearing, the court shall:
575575 (1) render an order for income withholding that
576576 includes a determination of the amount of child support arrearages,
577577 including medical support, dental support, and interest; or
578578 (2) grant the motion to stay.
579579 SECTION 34. Subsection (a), Section 158.312, Family Code,
580580 is amended to read as follows:
581581 (a) If a notice of application for judicial writ of
582582 withholding is delivered and a motion to stay is not filed within
583583 the time limits provided by Section 158.307, the party who filed the
584584 notice shall file with the clerk of the court a request for issuance
585585 of the writ of withholding stating the amount of current support,
586586 including medical support and dental support, the amount of
587587 arrearages, and the amount to be withheld from the obligor's
588588 income.
589589 SECTION 35. Section 158.314, Family Code, is amended to
590590 read as follows:
591591 Sec. 158.314. CONTENTS OF WRIT OF WITHHOLDING. The
592592 judicial writ of income withholding issued by the clerk must direct
593593 that the employer or a subsequent employer withhold from the
594594 obligor's disposable income for current child support, including
595595 medical support and dental support, and child support arrearages an
596596 amount that is consistent with the provisions of this chapter
597597 regarding orders of withholding.
598598 SECTION 36. Subsection (a), Section 158.502, Family Code,
599599 is amended to read as follows:
600600 (a) An administrative writ of withholding under this
601601 subchapter may be issued by the Title IV-D agency at any time until
602602 all current support, including medical support and dental support,
603603 [and] child support arrearages, and Title IV-D service fees
604604 authorized under Section 231.103 for which the obligor is
605605 responsible[,] have been paid. The writ issued under this
606606 subsection may be based on an obligation in more than one support
607607 order.
608608 SECTION 37. Subsection (b), Section 158.504, Family Code,
609609 is amended to read as follows:
610610 (b) An administrative writ of withholding issued under this
611611 subchapter may contain only the information that is necessary for
612612 the employer to withhold income for child support, [and] medical
613613 support, and dental support and shall specify the place where the
614614 withheld income is to be paid.
615615 SECTION 38. Section 158.507, Family Code, is amended to
616616 read as follows:
617617 Sec. 158.507. ADMINISTRATIVE WRIT TERMINATING WITHHOLDING.
618618 An administrative writ to terminate withholding may be issued and
619619 delivered to an employer by the Title IV-D agency when all current
620620 support, including medical support and dental support, [and] child
621621 support arrearages, and Title IV-D service fees authorized under
622622 Section 231.103 for which the obligor is responsible[,] have been
623623 paid.
624624 SECTION 39. Subsection (c), Section 159.502, Family Code,
625625 is amended to read as follows:
626626 (c) Except as otherwise provided in Subsection (d) and
627627 Section 159.503, the employer shall withhold and distribute the
628628 funds as directed in the withholding order by complying with terms
629629 of the order that specify:
630630 (1) the duration and amount of periodic payments of
631631 current child support, stated as a sum certain;
632632 (2) the person designated to receive payments and the
633633 address to which the payments are to be forwarded;
634634 (3) medical support and dental support, whether in the
635635 form of periodic cash payments, stated as a sum certain, or ordering
636636 the obligor to provide health insurance coverage or dental
637637 insurance coverage for the child under a policy available through
638638 the obligor's employment;
639639 (4) the amount of periodic payments of fees and costs
640640 for a support enforcement agency, the issuing tribunal, and the
641641 obligee's attorney, stated as sums certain; and
642642 (5) the amount of periodic payments of arrearages and
643643 interest on arrearages, stated as sums certain.
644644 SECTION 40. The heading to Section 231.0011, Family Code,
645645 is amended to read as follows:
646646 Sec. 231.0011. DEVELOPMENT OF STATEWIDE INTEGRATED SYSTEM
647647 FOR CHILD SUPPORT, [AND] MEDICAL SUPPORT, AND DENTAL SUPPORT
648648 ENFORCEMENT.
649649 SECTION 41. Subsections (a) and (g), Section 231.0011,
650650 Family Code, are amended to read as follows:
651651 (a) The Title IV-D agency shall have final approval
652652 authority on any contract or proposal for delivery of Title IV-D
653653 services under this section and in coordination with the Texas
654654 Judicial Council, the Office of Court Administration of the Texas
655655 Judicial System, the federal Office of Child Support Enforcement,
656656 and state, county, and local officials, shall develop and implement
657657 a statewide integrated system for child support, [and] medical
658658 support, and dental support enforcement, employing federal, state,
659659 local, and private resources to:
660660 (1) unify child support registry functions;
661661 (2) record and track all child support orders entered
662662 in the state;
663663 (3) establish an automated enforcement process which
664664 will use delinquency monitoring, billing, and other enforcement
665665 techniques to ensure the payment of current support;
666666 (4) incorporate existing enforcement resources into
667667 the system to obtain maximum benefit from state and federal
668668 funding; and
669669 (5) ensure accountability for all participants in the
670670 process, including state, county, and local officials, private
671671 contractors, and the judiciary.
672672 (g) Participation in the statewide integrated system for
673673 child support, [and] medical support, and dental support
674674 enforcement by a county is voluntary, and nothing in this section
675675 shall be construed to mandate participation.
676676 SECTION 42. Subsection (e), Section 231.002, Family Code,
677677 is amended to read as follows:
678678 (e) The Title IV-D agency may take the following
679679 administrative actions with respect to the location of a parent,
680680 the determination of parentage, and the establishment,
681681 modification, and enforcement of child support, [and] medical
682682 support, and dental support orders required by 42 U.S.C. Section
683683 666(c), without obtaining an order from any other judicial or
684684 administrative tribunal:
685685 (1) issue an administrative subpoena, as provided by
686686 Section 231.303, to obtain financial or other information;
687687 (2) order genetic testing for parentage
688688 determination, as provided by Chapter 233;
689689 (3) order income withholding, as provided by Chapter
690690 233, and issue an administrative writ of withholding, as provided
691691 by Chapter 158; and
692692 (4) take any action with respect to execution,
693693 collection, and release of a judgment or lien for child support
694694 necessary to satisfy the judgment or lien, as provided by Chapter
695695 157.
696696 SECTION 43. Subsection (a), Section 231.101, Family Code,
697697 is amended to read as follows:
698698 (a) The Title IV-D agency may provide all services required
699699 or authorized to be provided by Part D of Title IV of the federal
700700 Social Security Act (42 U.S.C. Section 651 et seq.), including:
701701 (1) parent locator services;
702702 (2) paternity determination;
703703 (3) child support, [and] medical support, and dental
704704 support establishment;
705705 (4) review and adjustment of child support orders;
706706 (5) enforcement of child support, [and] medical
707707 support, and dental support orders; and
708708 (6) collection and distribution of child support
709709 payments.
710710 SECTION 44. Subsection (b), Section 231.104, Family Code,
711711 is amended to read as follows:
712712 (b) An application for child support services is an
713713 assignment of support rights to enable the Title IV-D agency to
714714 establish and enforce child support, [and] medical support, and
715715 dental support obligations, but an assignment is not a condition of
716716 eligibility for services.
717717 SECTION 45. Subsection (a), Section 231.123, Family Code,
718718 is amended to read as follows:
719719 (a) In order to maximize the amount of any tax refund to
720720 which an obligor may be entitled and which may be applied to child
721721 support, [and] medical support, and dental support obligations, the
722722 Title IV-D agency shall cooperate with volunteer income tax
723723 assistance programs in the state in informing obligors of the
724724 availability of the programs.
725725 SECTION 46. Subsection (a), Section 231.301, Family Code,
726726 is amended to read as follows:
727727 (a) The parent locator service conducted by the Title IV-D
728728 agency shall be used to obtain information for:
729729 (1) child support establishment and enforcement
730730 purposes regarding the identity, social security number, location,
731731 employer and employment benefits, income, and assets or debts of
732732 any individual under an obligation to pay child support, [or]
733733 medical support, or dental support or to whom a support obligation
734734 is owed; or
735735 (2) the establishment of paternity.
736736 SECTION 47. Section 231.306, Family Code, is amended to
737737 read as follows:
738738 Sec. 231.306. MAXIMIZING MEDICAL SUPPORT AND DENTAL SUPPORT
739739 ESTABLISHMENT AND COLLECTION BY THE TITLE IV-D AGENCY. (a) On the
740740 installation of an automated child support enforcement system, the
741741 Title IV-D agency is strongly encouraged to:
742742 (1) maximize the collection of medical support and
743743 dental support; and
744744 (2) establish cash medical support orders for children
745745 eligible for medical assistance under the state Medicaid program
746746 for whom private insurance coverage is not available.
747747 (b) In this section:
748748 (1) "Medical[, "medical] support" has the meaning
749749 assigned by Section 101.020.
750750 (2) "Dental support" has the meaning assigned by
751751 Section 101.0095.
752752 SECTION 48. Subsection (a), Section 233.001, Family Code,
753753 is amended to read as follows:
754754 (a) The purpose of the procedures specified in the child
755755 support review process authorized by this chapter is to enable the
756756 Title IV-D agency to take expedited administrative actions to
757757 establish, modify, and enforce child support, [and] medical
758758 support, and dental support obligations, to determine parentage, or
759759 to take any other action authorized or required under Part D, Title
760760 IV, of the federal Social Security Act (42 U.S.C. Section 651 et
761761 seq.), and Chapter 231.
762762 SECTION 49. Subsection (b), Section 233.009, Family Code,
763763 is amended to read as follows:
764764 (b) The notice of proposed child support review order shall
765765 state:
766766 (1) the amount of periodic payment of child support
767767 due, the amount of any overdue support that is owed as an arrearage
768768 as of the date of the notice, and the amounts that are to be paid by
769769 the obligor for current support due and in payment on the arrearage
770770 owed;
771771 (2) that the person identified in the notice as the
772772 party responsible for payment of the support amounts may contest
773773 the notice order on the grounds that:
774774 (A) the respondent is not the responsible party;
775775 (B) the dependent child is no longer entitled to
776776 child support; or
777777 (C) the amount of monthly support or arrearage is
778778 incorrectly stated; and
779779 (3) that, if the person identified in the notice as the
780780 party responsible for payment of the support amounts does not
781781 contest the notice in writing or request a negotiation conference
782782 to discuss the notice not later than the 15th day after the date the
783783 notice was delivered, the Title IV-D agency may file a child support
784784 review order for child support, [and for] medical support, and
785785 dental support for the child as provided by Chapter 154 according to
786786 the information available to the agency.
787787 SECTION 50. Subsection (b), Section 233.0095, Family Code,
788788 is amended to read as follows:
789789 (b) The notice of proposed child support review order shall
790790 state:
791791 (1) the amount of periodic payment of child support
792792 due;
793793 (2) that the person identified in the notice as the
794794 party responsible for payment of the support amounts may only
795795 contest the amount of monthly support; and
796796 (3) that, if the person identified in the notice as the
797797 party responsible for payment of the support amounts does not
798798 contest the notice in writing or request a negotiation conference
799799 to discuss the notice not later than the 15th day after the date the
800800 notice was delivered, the Title IV-D agency may file the child
801801 support order for child support, [and for] medical support, and
802802 dental support for the child as provided by Chapter 154 according to
803803 the information available to the agency.
804804 SECTION 51. Subsection (c), Section 233.013, Family Code,
805805 is amended to read as follows:
806806 (c) Notwithstanding Subsection (b), the Title IV-D agency
807807 may, at any time and without a showing of material and substantial
808808 change in the circumstances of the parties, file a child support
809809 review order that has the effect of modifying an existing order for
810810 child support to provide medical support or dental support for a
811811 child if the existing order does not provide health care coverage
812812 for the child as required under Section 154.182 or dental care
813813 coverage for the child as required under Section 154.1825.
814814 SECTION 52. Subsection (a), Section 233.017, Family Code,
815815 is amended to read as follows:
816816 (a) An order issued under this chapter must be reviewed and
817817 signed by an attorney of the Title IV-D agency and must contain all
818818 provisions that are appropriate for an order under this title,
819819 including current child support, medical support, dental support, a
820820 determination of any arrearages or retroactive support, and, if not
821821 otherwise ordered, income withholding.
822822 SECTION 53. Section 234.002, Family Code, is amended to
823823 read as follows:
824824 Sec. 234.002. INTEGRATED SYSTEM FOR CHILD SUPPORT, [AND]
825825 MEDICAL SUPPORT, AND DENTAL SUPPORT ENFORCEMENT. The statewide
826826 integrated system for child support, [and] medical support, and
827827 dental support enforcement under Chapter 231 shall be part of the
828828 state case registry and state disbursement unit authorized by this
829829 subchapter.
830830 SECTION 54. Subsection (a), Section 71.035, Government
831831 Code, is amended to read as follows:
832832 (a) The council shall gather judicial statistics and other
833833 pertinent information from the several state judges and other court
834834 officials of this state. In addition, the council shall implement a
835835 monthly tracking system to ensure accountability for counties and
836836 courts which participate in the statewide integrated system for
837837 child support, [and] medical support, and dental support
838838 enforcement established under Section 231.0011, Family Code. As a
839839 duty of office, the district clerks and county clerks serving the
840840 affected courts shall report monthly such information as may be
841841 required by the council, including, at a minimum, the time required
842842 to enforce cases from date of delinquency, from date of filing, and
843843 from date of service until date of disposition. Such information as
844844 is necessary to complete the report and not directly within the
845845 control of the district or county clerk, such as date of
846846 delinquency, shall be provided to the clerk by the child support
847847 registry or by the enforcement agency providing Title IV-D
848848 enforcement services in the court. The monthly report shall be
849849 transmitted to the Office of Court Administration of the Texas
850850 Judicial System no later than the 20th day of the month following
851851 the month reported, in such form as may be prescribed by the Office
852852 of Court Administration, which may include electronic data
853853 transfer. Copies of such reports shall be maintained in the office
854854 of the appropriate district or county clerk for a period of at least
855855 two years and shall be available to the public for inspection and
856856 reproduction.
857857 SECTION 55. Subsection (c), Section 848.006, Insurance
858858 Code, is amended to read as follows:
859859 (c) Subsection (a) does not apply to an individual:
860860 (1) who is required to obtain or maintain health
861861 benefit plan coverage:
862862 (A) written by an institution of higher education
863863 at which the individual is or will be enrolled as a student; or
864864 (B) under an order requiring medical support or
865865 dental support for a child; or
866866 (2) who voluntarily applies for benefits under a state
867867 administered program under Title XIX of the Social Security Act (42
868868 U.S.C. Section 1396 et seq.), or Title XXI of the Social Security
869869 Act (42 U.S.C. Section 1397aa et seq.).
870870 SECTION 56. Subsection (b), Section 1201.053, Insurance
871871 Code, is amended to read as follows:
872872 (b) On the application of an adult member of a family, an
873873 individual accident and health insurance policy may, at the time of
874874 original issuance or by subsequent amendment, insure two or more
875875 eligible members of the adult's family, including a spouse,
876876 unmarried children younger than 25 years of age, including a
877877 grandchild of the adult as described by Section 1201.062(a)(1), a
878878 child the adult is required to insure under a medical support order
879879 or dental support order, if the policy provides dental coverage,
880880 issued under Chapter 154, Family Code, or enforceable by a court in
881881 this state, and any other individual dependent on the adult.
882882 SECTION 57. Subsection (a), Section 1201.062, Insurance
883883 Code, is amended to read as follows:
884884 (a) An individual or group accident and health insurance
885885 policy that is delivered, issued for delivery, or renewed in this
886886 state, including a policy issued by a corporation operating under
887887 Chapter 842, or a self-funded or self-insured welfare or benefit
888888 plan or program, to the extent that regulation of the plan or
889889 program is not preempted by federal law, that provides coverage for
890890 a child of an insured or group member, on payment of a premium, must
891891 provide coverage for:
892892 (1) each grandchild of the insured or group member if
893893 the grandchild is:
894894 (A) unmarried;
895895 (B) younger than 25 years of age; and
896896 (C) a dependent of the insured or group member
897897 for federal income tax purposes at the time application for
898898 coverage of the grandchild is made; and
899899 (2) each child for whom the insured or group member
900900 must provide medical support or dental support, if the policy
901901 provides dental coverage, under an order issued under Chapter 154,
902902 Family Code, or enforceable by a court in this state.
903903 SECTION 58. Section 1201.063, Insurance Code, is amended to
904904 read as follows:
905905 Sec. 1201.063. PROHIBITION OF CERTAIN CRITERIA RELATING TO
906906 CHILD'S COVERAGE IN INDIVIDUAL OR GROUP POLICY. Regarding a
907907 natural or adopted child of an insured or group member or a child
908908 for whom the insured or group member must provide medical support or
909909 dental support, if the policy provides dental coverage, under an
910910 order issued under Chapter 154, Family Code, or enforceable by a
911911 court in this state, an individual or group accident and health
912912 insurance policy that provides coverage for a child of an insured or
913913 group member may not set a different premium for the child, exclude
914914 the child from coverage, or discontinue coverage of the child
915915 because:
916916 (1) the child does not reside with the insured or group
917917 member; or
918918 (2) the insured or group member does not claim the
919919 child as an exemption for federal income tax purposes under Section
920920 151(c) [151(c)(1)(B)], Internal Revenue Code of 1986.
921921 SECTION 59. The heading to Chapter 1504, Insurance Code, is
922922 amended to read as follows:
923923 CHAPTER 1504. MEDICAL AND DENTAL CHILD SUPPORT
924924 SECTION 60. Subdivision (4), Section 1504.001, Insurance
925925 Code, is amended to read as follows:
926926 (4) "Benefit [Health benefit] plan issuer" means:
927927 (A) an insurance company, group hospital service
928928 corporation, or health maintenance organization that delivers or
929929 issues for delivery an individual, group, blanket, or franchise
930930 insurance policy or agreement, a group hospital service contract,
931931 or an evidence of coverage that provides benefits for medical or
932932 surgical expenses incurred as a result of an accident or sickness,
933933 or dental expenses;
934934 (B) a governmental entity subject to Subchapter
935935 D, Chapter 1355, Subchapter C, Chapter 1364, Chapter 1578, Article
936936 3.51-1, 3.51-4, or 3.51-5, or Chapter 177, Local Government Code;
937937 (C) the issuer of a multiple employer welfare
938938 arrangement as defined by Section 846.001; or
939939 (D) the issuer of a group health plan as defined
940940 by Section 607, Employee Retirement Income Security Act of 1974 (29
941941 U.S.C. Section 1167).
942942 SECTION 61. Subsection (b), Section 1504.002, Insurance
943943 Code, is amended to read as follows:
944944 (b) The commissioner shall adopt rules that define
945945 "comparable health or dental coverage" in a manner that:
946946 (1) is consistent with federal law; and
947947 (2) complies with the requirements necessary to
948948 maintain federal Medicaid funding.
949949 SECTION 62. Section 1504.003, Insurance Code, is amended to
950950 read as follows:
951951 Sec. 1504.003. VIOLATION OF CHAPTER: RELIEF AVAILABLE TO
952952 INJURED PERSON. A [health] benefit plan issuer that violates this
953953 chapter is subject to the same penalties, and an injured person has
954954 the same rights and remedies, as those provided by Subchapter D,
955955 Chapter 541.
956956 SECTION 63. The heading to Subchapter B, Chapter 1504,
957957 Insurance Code, is amended to read as follows:
958958 SUBCHAPTER B. DUTIES OF [HEALTH] BENEFIT PLAN ISSUER
959959 SECTION 64. Section 1504.051, Insurance Code, is amended to
960960 read as follows:
961961 Sec. 1504.051. ENROLLMENT OF CERTAIN CHILDREN REQUIRED.
962962 (a) A [health] benefit plan issuer shall permit a parent to enroll
963963 a child in dependent health or dental coverage offered through the
964964 issuer regardless of any enrollment period restriction if the
965965 parent is:
966966 (1) eligible for dependent health or dental coverage;
967967 and
968968 (2) required by a court order or administrative order
969969 to provide health or dental insurance coverage for the child.
970970 (b) A [health] benefit plan issuer shall enroll a child of a
971971 parent described by Subsection (a) in dependent health or dental
972972 coverage offered through the issuer if:
973973 (1) the parent does not apply to obtain health or
974974 dental coverage for the child through the issuer; and
975975 (2) the child, a custodial parent of the child, or a
976976 child support agency having a duty to collect or enforce support for
977977 the child applies for the coverage.
978978 SECTION 65. Section 1504.052, Insurance Code, is amended to
979979 read as follows:
980980 Sec. 1504.052. CHILD RESIDING OUTSIDE SERVICE AREA;
981981 COMPARABLE HEALTH OR DENTAL COVERAGE REQUIRED. (a) A [health]
982982 benefit plan issuer may not deny enrollment of a child under the
983983 health or dental coverage of the child's parent on the ground that
984984 the child does not reside in the issuer's service area.
985985 (b) A [health] benefit plan issuer may not enforce an
986986 otherwise applicable provision of the health or dental coverage
987987 that would deny, limit, or reduce payment of a claim for a covered
988988 child who resides outside the issuer's service area but inside the
989989 United States.
990990 (c) For a covered child who resides outside the [health]
991991 benefit plan issuer's service area and whose coverage under a
992992 policy or plan is required by a medical support order or dental
993993 support order, the issuer shall provide coverage that is comparable
994994 health or dental coverage to that provided to other dependents
995995 under the policy or plan.
996996 (d) Comparable health or dental coverage may include
997997 coverage in which a [health] benefit plan issuer uses different
998998 procedures for service delivery and health care provider
999999 reimbursement. Comparable health or dental coverage may not
10001000 include coverage:
10011001 (1) that is limited to emergency services only; or
10021002 (2) for which the issuer charges a higher premium.
10031003 SECTION 66. Section 1504.053, Insurance Code, is amended to
10041004 read as follows:
10051005 Sec. 1504.053. CANCELLATION OR NONRENEWAL OF COVERAGE FOR
10061006 CERTAIN CHILDREN. (a) A [health] benefit plan issuer may not
10071007 cancel or refuse to renew health or dental coverage provided to a
10081008 child who is enrolled or entitled to enrollment under this chapter
10091009 unless satisfactory written evidence is filed with the issuer
10101010 showing that:
10111011 (1) the court or administrative order that required
10121012 the coverage is not in effect; or
10131013 (2) the child:
10141014 (A) is enrolled in comparable health or dental
10151015 coverage; or
10161016 (B) will be enrolled in comparable health or
10171017 dental coverage that takes effect not later than the effective date
10181018 of the cancellation or nonrenewal.
10191019 (b) For purposes of this section, a child is not enrolled or
10201020 entitled to enrollment under this chapter if the child's
10211021 eligibility for health or dental coverage ends because the parent
10221022 ceases to be eligible for dependent health or dental coverage.
10231023 SECTION 67. Section 1504.054, Insurance Code, is amended to
10241024 read as follows:
10251025 Sec. 1504.054. CONTINUATION OR CONVERSION OF COVERAGE.
10261026 (a) If a child's eligibility for dependent health or dental
10271027 coverage ends because the parent ceases to be eligible for the
10281028 coverage and the coverage provides for the continuation or
10291029 conversion of the coverage for the child, the [health] benefit plan
10301030 issuer shall notify the custodial parent and the child support
10311031 agency of the costs and other requirements for continuing or
10321032 converting the coverage.
10331033 (b) The [health] benefit plan issuer shall, on application
10341034 of a parent of the child, a child support agency, or the child,
10351035 enroll or continue enrollment of a child whose eligibility for
10361036 coverage ended under Subsection (a).
10371037 SECTION 68. Section 1504.055, Insurance Code, is amended to
10381038 read as follows:
10391039 Sec. 1504.055. PROCEDURE FOR CLAIMS. (a) A [health]
10401040 benefit plan issuer that provides health or dental coverage to a
10411041 child through a covered parent of the child shall:
10421042 (1) provide to each custodial parent of the child or to
10431043 an adult child documents and other information necessary for the
10441044 child to obtain benefits under the coverage, including:
10451045 (A) the name of the issuer;
10461046 (B) the number of the policy or evidence of
10471047 coverage;
10481048 (C) a copy of the policy or evidence of coverage
10491049 and schedule of benefits;
10501050 (D) a health or dental coverage membership card;
10511051 (E) claim forms; and
10521052 (F) any other document or information necessary
10531053 to submit a claim in accordance with the issuer's policies and
10541054 procedures;
10551055 (2) permit a custodial parent, health care provider,
10561056 state agency that has been assigned medical or dental support
10571057 rights, or adult child to submit claims for covered services
10581058 without the approval of the covered parent; and
10591059 (3) make payments on covered claims submitted in
10601060 accordance with this subsection directly to a custodial parent,
10611061 health care or dental care provider, adult child, or state agency
10621062 making a claim.
10631063 (b) A [health] benefit plan issuer shall provide to a state
10641064 agency that provides medical assistance, including medical
10651065 assistance for dental services, to the child or shall provide to a
10661066 child support agency that enforces medical or dental support on
10671067 behalf of a child the information necessary to obtain reimbursement
10681068 of medical or dental services provided to or paid on behalf of the
10691069 child.
10701070 SECTION 69. Section 1504.101, Insurance Code, is amended to
10711071 read as follows:
10721072 Sec. 1504.101. DENIAL OF ENROLLMENT ON CERTAIN GROUNDS
10731073 PROHIBITED. A [health] benefit plan issuer may not deny enrollment
10741074 of a child under the health or dental coverage of the child's parent
10751075 on the ground that the child:
10761076 (1) has a preexisting condition;
10771077 (2) was born out of wedlock;
10781078 (3) is not claimed as a dependent on the parent's
10791079 federal income tax return;
10801080 (4) does not reside with the parent; or
10811081 (5) receives or has applied for medical assistance.
10821082 SECTION 70. Section 1504.102, Insurance Code, is amended to
10831083 read as follows:
10841084 Sec. 1504.102. ASSIGNMENT OF MEDICAL OR DENTAL SUPPORT
10851085 RIGHTS: DIFFERENT REQUIREMENTS PROHIBITED. A [health] benefit
10861086 plan issuer may not require a state agency that has been assigned
10871087 the rights of an individual who is eligible for medical assistance
10881088 and is covered for health or dental benefits from the issuer to
10891089 comply with a requirement that is different from a requirement
10901090 imposed on an agent or assignee of any other covered individual.
10911091 SECTION 71. Section 402.085, Labor Code, is amended to read
10921092 as follows:
10931093 Sec. 402.085. EXCEPTIONS TO CONFIDENTIALITY. (a) The
10941094 division shall release information on a claim to:
10951095 (1) the Texas Department of Insurance for any
10961096 statutory or regulatory purpose, including a research purpose under
10971097 Chapter 405;
10981098 (2) a legislative committee for legislative purposes;
10991099 (3) a state or federal elected official requested in
11001100 writing to provide assistance by a constituent who qualifies to
11011101 obtain injury information under Section 402.084(b), if the request
11021102 for assistance is provided to the division;
11031103 (4) the attorney general or another entity that
11041104 provides child support services under Part D, Title IV, Social
11051105 Security Act (42 U.S.C. Section 651 et seq.), relating to:
11061106 (A) establishing, modifying, or enforcing a
11071107 child support, [or] medical support, or dental support obligation;
11081108 or
11091109 (B) locating an absent parent; or
11101110 (5) the office of injured employee counsel for any
11111111 statutory or regulatory purpose that relates to a duty of that
11121112 office as provided by Section 404.111(a).
11131113 (b) The division may release information on a claim to a
11141114 governmental agency, political subdivision, or regulatory body to
11151115 use to:
11161116 (1) investigate an allegation of a criminal offense or
11171117 licensing or regulatory violation;
11181118 (2) provide:
11191119 (A) unemployment compensation benefits;
11201120 (B) crime victims compensation benefits;
11211121 (C) vocational rehabilitation services; or
11221122 (D) health care benefits;
11231123 (3) investigate occupational safety or health
11241124 violations;
11251125 (4) verify income on an application for benefits under
11261126 an income-based state or federal assistance program; or
11271127 (5) assess financial resources in an action, including
11281128 an administrative action, to:
11291129 (A) establish, modify, or enforce a child
11301130 support, [or] medical support, or dental support obligation;
11311131 (B) establish paternity;
11321132 (C) locate an absent parent; or
11331133 (D) cooperate with another state in an action
11341134 authorized under Part D, Title IV, Social Security Act (42 U.S.C.
11351135 Section 651 et seq.), or Chapter 231, Family Code.
11361136 SECTION 72. (a) The changes in law made by this Act apply
11371137 to a suit affecting the parent-child relationship filed on or after
11381138 the effective date of this Act. A suit affecting the parent-child
11391139 relationship filed before the effective date of this Act is
11401140 governed by the law in effect on the date the suit was filed, and the
11411141 former law is continued in effect for that purpose.
11421142 (b) The change in law made by this Act does not by itself
11431143 constitute a material and substantial change of circumstances under
11441144 Section 156.401, Family Code, sufficient to warrant modification of
11451145 a court order or a portion of a decree that provides for the support
11461146 of a child rendered before the effective date of this Act.
11471147 SECTION 73. This Act takes effect September 1, 2013.