84R3583 PMO-D By: Turner of Tarrant H.B. No. 818 A BILL TO BE ENTITLED AN ACT relating to the establishment of a health benefit exchange tailored to the needs of the state. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. (a) The Health and Human Services Commission, the Texas Department of Insurance, or the commission in conjunction with the department, shall negotiate with the appropriate federal entity for authorization to develop a state health benefit exchange. The negotiated authorization must allow the state health benefit exchange to be flexible, patient-friendly, tailored to the needs of the state, and similar to the health benefit exchange described in the Patient Protection and Affordable Care Act (Pub. L. No. 111-148). (b) If the appropriate federal entity authorizes a state health benefit exchange described in Subsection (a) of this section, the Health and Human Services Commission, the Texas Department of Insurance, or the commission in conjunction with the department, shall develop and implement the health benefit exchange. SECTION 2. This Act takes effect immediately if it receives a vote of two-thirds of all the members elected to each house, as provided by Section 39, Article III, Texas Constitution. If this Act does not receive the vote necessary for immediate effect, this Act takes effect September 1, 2015.