84R9539 PMO-F
By: Sheffield H.B. No. 1514
A BILL TO BE ENTITLED
AN ACT
relating to health insurance identification cards issued by
qualified health plan issuers.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Title 8, Insurance Code, is amended by adding
Subtitle L to read as follows:
SUBTITLE L. QUALIFIED HEALTH PLAN MANDATORY DISCLOSURES
CHAPTER 1693. QUALIFIED HEALTH PLAN IDENTIFICATION CARDS
Sec. 1693.001. DEFINITIONS. Except as provided by Section
1693.003, in this chapter, "advance payments of the premium tax
credit," "enrollee," "qualified health plan," and "qualified
health plan issuer" have the meanings assigned by 45 C.F.R. Section
155.20 as that section existed on January 1, 2015.
Sec. 1693.002. REQUIRED INFORMATION. An identification
card or other similar document issued by a qualified health plan
issuer to an enrollee of a qualified health plan in this state must,
in addition to any requirement under other law, including Sections
843.209, 1301.162, and 1369.153, display on the card or document in
a location of the issuer's choice:
(1) the acronym "QHP"; or
(2) if the enrollee receives advance payment of the
premium tax credit, the acronym "QHP-S".
Sec. 1693.003. COMMISSIONER DETERMINATIONS REGARDING
FEDERAL REGULATIONS. (a) The commissioner shall monitor 45 C.F.R.
Section 155.20 for amendments to the definitions listed in Section
1693.001 and determine if it is in the best interest of the state to
adopt an amended definition for purposes of this chapter. If the
commissioner determines that it is in the best interest of the state
to adopt the amended definition, the commissioner by rule shall
adopt the amended definition.
(b) In making the determination about an amendment, the
commissioner shall consider, in addition to other factors
affecting the public interest, the beneficial and adverse effects
the amendment may have on:
(1) individuals who are receiving medical care and
health care services in this state; and
(2) health care providers and physicians.
Sec. 1693.004. REPORT TO LEGISLATURE. The commissioner
shall prepare a report of a determination made under Section
1693.003, including an explanation of the reasons for the
determination, and file the report with the presiding officer of
each house of the legislature not later than the 30th day after the
date the determination is made.
Sec. 1693.005. RULES. The commissioner may adopt rules as
necessary to administer and enforce this chapter.
SECTION 2. This Act takes effect September 1, 2015.