Texas 2015 - 84th Regular

Texas Senate Bill SB550 Compare Versions

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1-By: Uresti S.B. No. 550
2- (Rose)
1+S.B. No. 550
32
43
5- A BILL TO BE ENTITLED
64 AN ACT
75 relating to requiring dental support for a child subject to a child
86 support order.
97 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
108 SECTION 1. Section 54.06(e), Family Code, is amended to
119 read as follows:
1210 (e) The court shall apply the child support guidelines under
1311 Subchapter C, Chapter 154, in an order requiring the payment of
1412 child support under this section. The court shall also require in
1513 an order to pay child support under this section that health
1614 insurance and dental insurance be provided for the child.
1715 Subchapter D, Chapter 154, applies to an order requiring health
1816 insurance and dental insurance for a child under this section.
1917 SECTION 2. Section 101.006, Family Code, is amended to read
2018 as follows:
2119 Sec. 101.006. CHILD SUPPORT SERVICES. "Child support
2220 services" means administrative or court actions to:
2321 (1) establish paternity;
2422 (2) establish, modify, or enforce child support, [or]
2523 medical support, or dental support obligations;
2624 (3) locate absent parents; or
2725 (4) cooperate with other states in these actions and
2826 any other action authorized or required under Part D of Title IV of
2927 the federal Social Security Act (42 U.S.C. Section 651 et seq.) or
3028 Chapter 231.
3129 SECTION 3. Chapter 101, Family Code, is amended by adding
3230 Sections 101.0094 and 101.0095 to read as follows:
3331 Sec. 101.0094. DENTAL INSURANCE. "Dental insurance" means
3432 insurance coverage that provides preventive dental care and other
3533 dental services, including usual dentist services, office visits,
3634 examinations, X-rays, and emergency services, that may be provided
3735 through a single service health maintenance organization or other
3836 private or public organization.
3937 Sec. 101.0095. DENTAL SUPPORT. "Dental support" means
4038 periodic payments or a lump-sum payment made under an order to cover
4139 dental expenses, including dental insurance coverage, incurred for
4240 the benefit of a child.
4341 SECTION 4. Section 101.012, Family Code, is amended to read
4442 as follows:
4543 Sec. 101.012. EMPLOYER. "Employer" means a person,
4644 corporation, partnership, workers' compensation insurance carrier,
4745 governmental entity, the United States, or any other entity that
4846 pays or owes earnings to an individual. The term includes, for the
4947 purposes of enrolling dependents in a group health or dental
5048 insurance plan, a union, trade association, or other similar
5149 organization.
5250 SECTION 5. Section 101.024(b), Family Code, is amended to
5351 read as follows:
5452 (b) For purposes of establishing, determining the terms of,
5553 modifying, or enforcing an order, a reference in this title to a
5654 parent includes a person ordered to pay child support under Section
5755 154.001(a-1) or to provide medical support or dental support for a
5856 child.
5957 SECTION 6. Section 101.034, Family Code, is amended to read
6058 as follows:
6159 Sec. 101.034. TITLE IV-D CASE. "Title IV-D case" means an
6260 action in which services are provided by the Title IV-D agency under
6361 Part D, Title IV, of the federal Social Security Act (42 U.S.C.
6462 Section 651 et seq.), relating to the location of an absent parent,
6563 determination of parentage, or establishment, modification, or
6664 enforcement of a child support, [or] medical support, or dental
6765 support obligation.
6866 SECTION 7. Section 153.611, Family Code, is amended to read
6967 as follows:
7068 Sec. 153.611. EXCEPTION FOR CERTAIN TITLE IV-D PROCEEDINGS.
7169 Notwithstanding any other provision of this subchapter, this
7270 subchapter does not apply to a proceeding in a Title IV-D case
7371 relating to the determination of parentage or establishment,
7472 modification, or enforcement of a child support, [or] medical
7573 support, or dental support obligation.
7674 SECTION 8. Section 154.008, Family Code, is amended to read
7775 as follows:
7876 Sec. 154.008. PROVISION FOR MEDICAL SUPPORT AND DENTAL
7977 SUPPORT. The court shall order medical support and dental support
8078 for the child as provided by Subchapters B and D.
8179 SECTION 9. Section 154.015(c), Family Code, is amended to
8280 read as follows:
8381 (c) For purposes of this section, the court of continuing
8482 jurisdiction shall determine the amount of the unpaid child support
8583 obligation for each child of the deceased obligor. In determining
8684 the amount of the unpaid child support obligation, the court shall
8785 consider all relevant factors, including:
8886 (1) the present value of the total amount of monthly
8987 periodic child support payments that would become due between the
9088 month in which the obligor dies and the month in which the child
9189 turns 18 years of age, based on the amount of the periodic monthly
9290 child support payments under the child support order in effect on
9391 the date of the obligor's death;
9492 (2) the present value of the total amount of health
9593 insurance and dental insurance premiums payable for the benefit of
9694 the child from the month in which the obligor dies until the month
9795 in which the child turns 18 years of age, based on the cost of health
9896 insurance and dental insurance for the child ordered to be paid on
9997 the date of the obligor's death;
10098 (3) in the case of a disabled child under 18 years of
10199 age or an adult disabled child, an amount to be determined by the
102100 court under Section 154.306;
103101 (4) the nature and amount of any benefit to which the
104102 child would be entitled as a result of the obligor's death,
105103 including life insurance proceeds, annuity payments, trust
106104 distributions, social security death benefits, and retirement
107105 survivor benefits; and
108106 (5) any other financial resource available for the
109107 support of the child.
110108 SECTION 10. Section 154.016(b), Family Code, is amended to
111109 read as follows:
112110 (b) In determining the nature and extent of the obligation
113111 to provide for the support of the child in the event of the death of
114112 the obligor, the court shall consider all relevant factors,
115113 including:
116114 (1) the present value of the total amount of monthly
117115 periodic child support payments from the date the child support
118116 order is rendered until the month in which the child turns 18 years
119117 of age, based on the amount of the periodic monthly child support
120118 payment under the child support order;
121119 (2) the present value of the total amount of health
122120 insurance and dental insurance premiums payable for the benefit of
123121 the child from the date the child support order is rendered until
124122 the month in which the child turns 18 years of age, based on the cost
125123 of health insurance and dental insurance for the child ordered to be
126124 paid; and
127125 (3) in the case of a disabled child under 18 years of
128126 age or an adult disabled child, an amount to be determined by the
129127 court under Section 154.306.
130128 SECTION 11. Sections 154.062(d) and (e), Family Code, are
131129 amended to read as follows:
132130 (d) The court shall deduct the following items from
133131 resources to determine the net resources available for child
134132 support:
135133 (1) social security taxes;
136134 (2) federal income tax based on the tax rate for a
137135 single person claiming one personal exemption and the standard
138136 deduction;
139137 (3) state income tax;
140138 (4) union dues;
141139 (5) expenses for the cost of health insurance, dental
142140 insurance, or cash medical support for the obligor's child ordered
143141 by the court under Sections [Section] 154.182 and 154.1825; and
144142 (6) if the obligor does not pay social security taxes,
145143 nondiscretionary retirement plan contributions.
146144 (e) In calculating the amount of the deduction for health
147145 care or dental coverage for a child under Subsection (d)(5), if the
148146 obligor has other minor dependents covered under the same health or
149147 dental insurance plan, the court shall divide the total cost to the
150148 obligor for the insurance by the total number of minor dependents,
151149 including the child, covered under the plan.
152150 SECTION 12. Section 154.064, Family Code, is amended to
153151 read as follows:
154152 Sec. 154.064. MEDICAL SUPPORT AND DENTAL SUPPORT FOR CHILD
155153 PRESUMPTIVELY PROVIDED BY OBLIGOR. The guidelines for support of a
156154 child are based on the assumption that the court will order the
157155 obligor to provide medical support and dental support for the child
158156 in addition to the amount of child support calculated in accordance
159157 with those guidelines.
160158 SECTION 13. The heading to Subchapter D, Chapter 154,
161159 Family Code, is amended to read as follows:
162160 SUBCHAPTER D. MEDICAL SUPPORT AND DENTAL SUPPORT FOR CHILD
163161 SECTION 14. Subchapter D, Chapter 154, Family Code, is
164162 amended by adding Section 154.1815 to read as follows:
165163 Sec. 154.1815. DENTAL SUPPORT ORDER. (a) In this section,
166164 "reasonable cost" means the cost of a dental insurance premium that
167165 does not exceed 1.5 percent of the obligor's annual resources, as
168166 described by Section 154.062(b), if the obligor is responsible
169167 under a dental support order for the cost of dental insurance
170168 coverage for only one child. If the obligor is responsible under a
171169 dental support order for the cost of dental insurance coverage for
172170 more than one child, "reasonable cost" means the total cost of
173171 dental insurance coverage for all children for which the obligor is
174172 responsible under a dental support order that does not exceed 1.5
175173 percent of the obligor's annual resources, as described by Section
176174 154.062(b).
177175 (b) In a suit affecting the parent-child relationship or in
178176 a proceeding under Chapter 159, the court shall render an order for
179177 the dental support of the child as provided by this section and
180178 Section 154.1825.
181179 (c) Before a hearing on temporary orders, or a final order
182180 if no hearing on temporary orders is held, the court shall require
183181 the parties to the proceedings to disclose in a pleading or other
184182 document whether the child is covered by dental insurance and, if
185183 the child is covered, the identity of the insurer providing the
186184 coverage, the policy number, which parent is responsible for
187185 payment of any insurance premium for the coverage, whether the
188186 coverage is provided through a parent's employment, and the cost of
189187 the premium. If dental insurance is not in effect for the child,
190188 the parties must disclose to the court whether either parent has
191189 access to dental insurance at a reasonable cost to the obligor.
192190 (d) In rendering temporary orders, the court shall, except
193191 for good cause shown, order that any dental insurance coverage in
194192 effect for the child continue in effect pending the rendition of a
195193 final order, except that the court may not require the continuation
196194 of any dental insurance that is not available to the parent at a
197195 reasonable cost to the obligor. If dental insurance coverage is not
198196 in effect for the child or if the insurance in effect is not
199197 available at a reasonable cost to the obligor, the court shall,
200198 except for good cause shown, order dental insurance coverage for
201199 the child as provided by Section 154.1825.
202200 (e) On rendering a final order the court shall:
203201 (1) make specific findings with respect to the manner
204202 in which dental insurance coverage is to be provided for the child,
205203 in accordance with the priorities identified under Section
206204 154.1825; and
207205 (2) except for good cause shown or on agreement of the
208206 parties, require the parent ordered to provide dental insurance
209207 coverage for the child as provided by Section 154.1825 to produce
210208 evidence to the court's satisfaction that the parent has applied
211209 for or secured dental insurance or has otherwise taken necessary
212210 action to provide for dental insurance coverage for the child, as
213211 ordered by the court.
214212 SECTION 15. Subchapter D, Chapter 154, Family Code, is
215213 amended by adding Section 154.1825 to read as follows:
216214 Sec. 154.1825. DENTAL CARE COVERAGE FOR CHILD. (a) In
217215 this section:
218216 (1) "Accessibility" means the extent to which dental
219217 insurance coverage for a child provides for the availability of
220218 dental care within a reasonable traveling distance and time from
221219 the child's primary residence, as determined by the court.
222220 (2) "Reasonable cost" has the meaning assigned by
223221 Section 154.1815(a).
224222 (b) The court shall consider the cost, accessibility, and
225223 quality of dental insurance coverage available to the parties and
226224 shall give priority to dental insurance coverage available through
227225 the employment of one of the parties if the coverage is available at
228226 a reasonable cost to the obligor.
229227 (c) In determining the manner in which dental care coverage
230228 for the child is to be ordered, the court shall render its order in
231229 accordance with the following priorities, unless a party shows good
232230 cause why a particular order is not in the best interest of the
233231 child:
234232 (1) if dental insurance is available for the child
235233 through a parent's employment or membership in a union, trade
236234 association, or other organization at reasonable cost, the court
237235 shall order that parent to include the child in the parent's dental
238236 insurance; or
239237 (2) if dental insurance is not available for the child
240238 under Subdivision (1) but is available to a parent from another
241239 source and at a reasonable cost, the court may order that parent to
242240 provide dental insurance for the child.
243241 (d) If the parent ordered to provide dental insurance under
244242 Subsection (c)(1) or (2) is the obligee, the court shall order the
245243 obligor to pay the obligee, as additional child support, an amount
246244 equal to the actual cost of dental insurance for the child, but not
247245 to exceed a reasonable cost to the obligor. In calculating the
248246 actual cost of dental insurance for the child, if the obligee has
249247 other minor dependents covered under the same dental insurance
250248 plan, the court shall divide the total cost to the obligee for the
251249 insurance by the total number of minor dependents, including the
252250 child covered under the plan.
253251 SECTION 16. Section 154.183, Family Code, is amended to
254252 read as follows:
255253 Sec. 154.183. MEDICAL AND DENTAL SUPPORT ADDITIONAL SUPPORT
256254 DUTY OF OBLIGOR. (a) An amount that an obligor is ordered to pay
257255 as medical support or dental support for the child under this
258256 chapter, including the costs of health insurance coverage or cash
259257 medical support under Section 154.182 and the costs of dental
260258 insurance under Section 154.1825:
261259 (1) is in addition to the amount that the obligor is
262260 required to pay for child support under the guidelines for child
263261 support;
264262 (2) is a child support obligation; and
265263 (3) may be enforced by any means available for the
266264 enforcement of child support, including withholding from earnings
267265 under Chapter 158.
268266 (b) If the court finds and states in the child support order
269267 that the obligee will maintain health insurance coverage, dental
270268 insurance coverage, or both, for the child at the obligee's
271269 expense, the court shall increase the amount of child support to be
272270 paid by the obligor in an amount not exceeding the actual cost to
273271 the obligee for maintaining the [health insurance] coverage, as
274272 provided under Sections [Section] 154.182(b-1) and 154.1825(d).
275273 (c) As additional child support, the court shall allocate
276274 between the parties, according to their circumstances:
277275 (1) the reasonable and necessary health care expenses,
278276 including vision and dental expenses, of the child that are not
279277 reimbursed by health or dental insurance or are not otherwise
280278 covered by the amount of cash medical support ordered under Section
281279 154.182 [154.182(b)(3)]; and
282280 (2) amounts paid by either party as deductibles or
283281 copayments in obtaining health care or dental care services for the
284282 child covered under a health insurance or dental insurance policy.
285283 SECTION 17. Sections 154.184(a) and (b), Family Code, are
286284 amended to read as follows:
287285 (a) Receipt of a medical support order requiring that health
288286 insurance be provided for a child or a dental support order
289287 requiring that dental insurance be provided for a child shall be
290288 considered a change in the family circumstances of the employee or
291289 member, for health insurance purposes and dental insurance
292290 purposes, equivalent to the birth or adoption of a child.
293291 (b) If the employee or member is eligible for dependent
294292 health coverage or dependent dental coverage, the employer shall
295293 automatically enroll the child for the first 31 days after the
296294 receipt of the order or notice of the medical support order or the
297295 dental support order under Section 154.186 on the same terms and
298296 conditions as apply to any other dependent child.
299297 SECTION 18. Section 154.185, Family Code, is amended to
300298 read as follows:
301299 Sec. 154.185. PARENT TO FURNISH INFORMATION. (a) The
302300 court shall order a parent providing health insurance or dental
303301 insurance to furnish to either the obligee, obligor, or child
304302 support agency the following information not later than the 30th
305303 day after the date the notice of rendition of the order is received:
306304 (1) the social security number of the parent;
307305 (2) the name and address of the parent's employer;
308306 (3) with regard to health insurance:
309307 (A) whether the employer is self-insured or has
310308 health insurance available;
311309 (B) [(4)] proof that health insurance has been
312310 provided for the child;
313311 (C) [(5)] if the employer has health insurance
314312 available, the name of the health insurance carrier, the number of
315313 the policy, a copy of the policy and schedule of benefits, a health
316314 insurance membership card, claim forms, and any other information
317315 necessary to submit a claim; and
318316 (D) [(6)] if the employer is self-insured, a copy
319317 of the schedule of benefits, a membership card, claim forms, and any
320318 other information necessary to submit a claim; and
321319 (4) with regard to dental insurance:
322320 (A) whether the employer is self-insured or has
323321 dental insurance available;
324322 (B) proof that dental insurance has been provided
325323 for the child;
326324 (C) if the employer has dental insurance
327325 available, the name of the dental insurance carrier, the number of
328326 the policy, a copy of the policy and schedule of benefits, a dental
329327 insurance membership card, claim forms, and any other information
330328 necessary to submit a claim; and
331329 (D) if the employer is self-insured, a copy of
332330 the schedule of benefits, a membership card, claim forms, and any
333331 other information necessary to submit a claim.
334332 (b) The court shall also order a parent providing health
335333 insurance or dental insurance to furnish the obligor, obligee, or
336334 child support agency with additional information regarding the
337335 health insurance coverage or dental insurance coverage not later
338336 than the 15th day after the date the information is received by the
339337 parent.
340338 SECTION 19. The heading to Section 154.186, Family Code, is
341339 amended to read as follows:
342340 Sec. 154.186. NOTICE TO EMPLOYER CONCERNING MEDICAL SUPPORT
343341 OR DENTAL SUPPORT.
344342 SECTION 20. Section 154.186(a), Family Code, is amended to
345343 read as follows:
346344 (a) The obligee, obligor, or a child support agency of this
347345 state or another state may send to the employer a copy of the order
348346 requiring an employee to provide health insurance coverage or
349347 dental insurance coverage for a child or may include notice of the
350348 medical support order or dental support order in an order or writ of
351349 withholding sent to the employer in accordance with Chapter 158.
352350 SECTION 21. Sections 154.187(a), (b), (c), (d), (e), and
353351 (g), Family Code, are amended to read as follows:
354352 (a) An order or notice under this subchapter to an employer
355353 directing that health insurance coverage or dental insurance
356354 coverage be provided to a child of an employee or member is binding
357355 on a current or subsequent employer on receipt without regard to the
358356 date the order was rendered. If the employee or member is eligible
359357 for dependent health coverage or dental coverage for the child, the
360358 employer shall immediately enroll the child in a health insurance
361359 plan or dental insurance plan regardless of whether the employee is
362360 enrolled in the plan. If dependent coverage is not available to the
363361 employee or member through the employer's health insurance plan or
364362 dental insurance plan or enrollment cannot be made permanent or if
365363 the employer is not responsible or otherwise liable for providing
366364 such coverage, the employer shall provide notice to the sender in
367365 accordance with Subsection (c).
368366 (b) If additional premiums are incurred as a result of
369367 adding the child to the health insurance plan or the dental
370368 insurance plan, the employer shall deduct the health insurance
371369 premium or the dental insurance premium from the earnings of the
372370 employee in accordance with Chapter 158 and apply the amount
373371 withheld to payment of the insurance premium.
374372 (c) An employer who has received an order or notice under
375373 this subchapter shall provide to the sender, by first class mail not
376374 later than the 40th day after the date the employer receives the
377375 order or notice, a statement that the child:
378376 (1) has been enrolled in the employer's health
379377 insurance plan or dental insurance plan, or is already enrolled in
380378 another health insurance plan or dental insurance plan in
381379 accordance with a previous child support, [or] medical support, or
382380 dental support order to which the employee is subject; or
383381 (2) cannot be enrolled or cannot be enrolled
384382 permanently in the employer's health insurance plan or dental
385383 insurance plan and provide the reason why coverage or permanent
386384 coverage cannot be provided.
387385 (d) If the employee ceases employment or if the health
388386 insurance coverage or dental insurance coverage lapses, the
389387 employer shall provide to the sender, by first class mail not later
390388 than the 15th day after the date of the termination of employment or
391389 the lapse of the coverage, notice of the termination or lapse and of
392390 the availability of any conversion privileges.
393391 (e) On request, the employer shall release to the sender
394392 information concerning the available health insurance coverage or
395393 dental insurance coverage, including the name of the health
396394 insurance carrier or dental insurance carrier, the policy number, a
397395 copy of the policy and schedule of benefits, a health insurance or
398396 dental insurance membership card, and claim forms.
399397 (g) An employer who fails to enroll a child, fails to
400398 withhold or remit premiums or cash medical support, or
401399 discriminates in hiring or employment on the basis of a medical
402400 support order or notice or a dental support order or notice under
403401 this subchapter shall be subject to the penalties and fines in
404402 Subchapter C, Chapter 158.
405403 SECTION 22. Section 154.188, Family Code, is amended to
406404 read as follows:
407405 Sec. 154.188. FAILURE TO PROVIDE OR PAY FOR REQUIRED HEALTH
408406 INSURANCE OR DENTAL INSURANCE. A parent ordered to provide health
409407 insurance or dental insurance or to pay the other parent additional
410408 child support for the cost of health insurance or dental insurance
411409 who fails to do so is liable for:
412410 (1) necessary medical expenses or dental expenses of
413411 the child, without regard to whether the expenses would have been
414412 paid if health insurance or dental insurance had been provided; and
415413 (2) the cost of health insurance premiums, dental
416414 insurance premiums, or contributions, if any, paid on behalf of the
417415 child.
418416 SECTION 23. Section 154.189, Family Code, is amended to
419417 read as follows:
420418 Sec. 154.189. NOTICE OF TERMINATION OR LAPSE OF INSURANCE
421419 COVERAGE. (a) An obligor ordered to provide health insurance
422420 coverage or dental insurance coverage for a child must notify the
423421 obligee and any child support agency enforcing a support obligation
424422 against the obligor of the:
425423 (1) termination or lapse of health insurance coverage
426424 or dental insurance coverage for the child not later than the 15th
427425 day after the date of a termination or lapse; and
428426 (2) availability of additional health insurance or
429427 dental insurance to the obligor for the child after a termination or
430428 lapse of coverage not later than the 15th day after the date the
431429 insurance becomes available.
432430 (b) If termination of coverage results from a change of
433431 employers, the obligor, the obligee, or the child support agency
434432 may send the new employer a copy of the order requiring the employee
435433 to provide health insurance or dental insurance for a child or
436434 notice of the medical support order or the dental support order as
437435 provided by this subchapter.
438436 SECTION 24. Section 154.190, Family Code, is amended to
439437 read as follows:
440438 Sec. 154.190. REENROLLING CHILD FOR INSURANCE COVERAGE.
441439 After health insurance or dental insurance has been terminated or
442440 has lapsed, an obligor ordered to provide health insurance coverage
443441 or dental insurance coverage for the child must enroll the child in
444442 a health insurance plan or a dental insurance plan at the next
445443 available enrollment period.
446444 SECTION 25. Section 154.191, Family Code, is amended to
447445 read as follows:
448446 Sec. 154.191. REMEDY NOT EXCLUSIVE. (a) This subchapter
449447 does not limit the rights of the obligor, obligee, local domestic
450448 relations office, or Title IV-D agency to enforce, modify, or
451449 clarify the medical support order or dental support order.
452450 (b) This subchapter does not limit the authority of the
453451 court to render or modify a medical support order or dental support
454452 order to provide for payment of uninsured health expenses, health
455453 care costs, [or] health insurance premiums, uninsured dental
456454 expenses, dental costs, or dental insurance premiums in a manner
457455 consistent with this subchapter.
458456 SECTION 26. Section 154.192, Family Code, is amended to
459457 read as follows:
460458 Sec. 154.192. CANCELLATION OR ELIMINATION OF INSURANCE
461459 COVERAGE FOR CHILD. [(a)] Unless the employee or member ceases to
462460 be eligible for dependent coverage, or the employer has eliminated
463461 dependent health coverage or dental coverage for all of the
464462 employer's employees or members, the employer may not cancel or
465463 eliminate coverage of a child enrolled under this subchapter until
466464 the employer is provided satisfactory written evidence that:
467465 (1) the court order or administrative order requiring
468466 the coverage is no longer in effect; or
469467 (2) the child is enrolled in comparable [health]
470468 insurance coverage or will be enrolled in comparable coverage that
471469 will take effect not later than the effective date of the
472470 cancellation or elimination of the employer's coverage.
473471 SECTION 27. The heading to Section 154.193, Family Code, is
474472 amended to read as follows:
475473 Sec. 154.193. MEDICAL SUPPORT ORDER OR DENTAL SUPPORT ORDER
476474 NOT QUALIFIED.
477475 SECTION 28. Section 154.193(a), Family Code, is amended to
478476 read as follows:
479477 (a) If a plan administrator or other person acting in an
480478 equivalent position determines that a medical support order or
481479 dental support order issued under this subchapter does not qualify
482480 for enforcement under federal law, the tribunal may, on its own
483481 motion or the motion of a party, render an order that qualifies for
484482 enforcement under federal law.
485483 SECTION 29. Sections 156.401(a) and (a-2), Family Code, are
486484 amended to read as follows:
487485 (a) Except as provided by Subsection (a-1), (a-2), or (b),
488486 the court may modify an order that provides for the support of a
489487 child, including an order for health care coverage under Section
490488 154.182 or an order for dental care coverage under Section
491489 154.1825, if:
492490 (1) the circumstances of the child or a person
493491 affected by the order have materially and substantially changed
494492 since the earlier of:
495493 (A) the date of the order's rendition; or
496494 (B) the date of the signing of a mediated or
497495 collaborative law settlement agreement on which the order is based;
498496 or
499497 (2) it has been three years since the order was
500498 rendered or last modified and the monthly amount of the child
501499 support award under the order differs by either 20 percent or $100
502500 from the amount that would be awarded in accordance with the child
503501 support guidelines.
504502 (a-2) A court or administrative order for child support in a
505503 Title IV-D case may be modified at any time, and without a showing
506504 of material and substantial change in the circumstances of the
507505 child or a person affected by the order, to provide for medical
508506 support or dental support of the child if the order does not provide
509507 health care coverage as required under Section 154.182 or dental
510508 care coverage as required under Section 154.1825.
511509 SECTION 30. Section 157.269, Family Code, is amended to
512510 read as follows:
513511 Sec. 157.269. RETENTION OF JURISDICTION. A court that
514512 renders an order providing for the payment of child support retains
515513 continuing jurisdiction to enforce the order, including by
516514 adjusting the amount of the periodic payments to be made by the
517515 obligor or the amount to be withheld from the obligor's disposable
518516 earnings, until all current support, [and] medical support, dental
519517 support, and child support arrearages, including interest and any
520518 applicable fees and costs, have been paid.
521519 SECTION 31. Sections 158.206(a) and (b), Family Code, are
522520 amended to read as follows:
523521 (a) An employer receiving an order or a writ of withholding
524522 under this chapter, including an order or writ directing that
525523 health insurance or dental insurance be provided to a child, who
526524 complies with the order or writ is not liable to the obligor for the
527525 amount of income withheld and paid as required by the order or writ.
528526 (b) An employer receiving an order or writ of withholding
529527 who does not comply with the order or writ is liable:
530528 (1) to the obligee for the amount not paid in
531529 compliance with the order or writ, including the amount the obligor
532530 is required to pay for health insurance or dental insurance under
533531 Chapter 154;
534532 (2) to the obligor for:
535533 (A) the amount withheld and not paid as required
536534 by the order or writ; and
537535 (B) an amount equal to the interest that accrues
538536 under Section 157.265 on the amount withheld and not paid; and
539537 (3) for reasonable attorney's fees and court costs.
540538 SECTION 32. Section 158.302, Family Code, is amended to
541539 read as follows:
542540 Sec. 158.302. CONTENTS OF NOTICE OF APPLICATION FOR
543541 JUDICIAL WRIT OF WITHHOLDING. The notice of application for
544542 judicial writ of withholding shall be verified and:
545543 (1) state the amount of monthly support due, including
546544 medical support and dental support, the amount of arrearages or
547545 anticipated arrearages, including accrued interest, and the amount
548546 of wages that will be withheld in accordance with a judicial writ of
549547 withholding;
550548 (2) state that the withholding applies to each current
551549 or subsequent employer or period of employment;
552550 (3) state that if the obligor does not contest the
553551 withholding within 10 days after the date of receipt of the notice,
554552 the obligor's employer will be notified to begin the withholding;
555553 (4) describe the procedures for contesting the
556554 issuance and delivery of a writ of withholding;
557555 (5) state that if the obligor contests the
558556 withholding, the obligor will be afforded an opportunity for a
559557 hearing by the court not later than the 30th day after the date of
560558 receipt of the notice of contest;
561559 (6) state that the sole ground for successfully
562560 contesting the issuance of a writ of withholding is a dispute
563561 concerning the identity of the obligor or the existence or amount of
564562 the arrearages, including accrued interest;
565563 (7) describe the actions that may be taken if the
566564 obligor contests the notice of application for judicial writ of
567565 withholding, including the procedures for suspending issuance of a
568566 writ of withholding; and
569567 (8) include with the notice a suggested form for the
570568 motion to stay issuance and delivery of the judicial writ of
571569 withholding that the obligor may file with the clerk of the
572570 appropriate court.
573571 SECTION 33. Section 158.309(c), Family Code, is amended to
574572 read as follows:
575573 (c) Upon hearing, the court shall:
576574 (1) render an order for income withholding that
577575 includes a determination of the amount of child support arrearages,
578576 including medical support, dental support, and interest; or
579577 (2) grant the motion to stay.
580578 SECTION 34. Section 158.312(a), Family Code, is amended to
581579 read as follows:
582580 (a) If a notice of application for judicial writ of
583581 withholding is delivered and a motion to stay is not filed within
584582 the time limits provided by Section 158.307, the party who filed the
585583 notice shall file with the clerk of the court a request for issuance
586584 of the writ of withholding stating the amount of current support,
587585 including medical support and dental support, the amount of
588586 arrearages, and the amount to be withheld from the obligor's
589587 income.
590588 SECTION 35. Section 158.314, Family Code, is amended to
591589 read as follows:
592590 Sec. 158.314. CONTENTS OF WRIT OF WITHHOLDING. The
593591 judicial writ of income withholding issued by the clerk must direct
594592 that the employer or a subsequent employer withhold from the
595593 obligor's disposable income for current child support, including
596594 medical support and dental support, and child support arrearages an
597595 amount that is consistent with the provisions of this chapter
598596 regarding orders of withholding.
599597 SECTION 36. Section 158.502(a), Family Code, is amended to
600598 read as follows:
601599 (a) An administrative writ of withholding under this
602600 subchapter may be issued by the Title IV-D agency at any time until
603601 all current support, including medical support and dental support,
604602 [and] child support arrearages, and Title IV-D service fees
605603 authorized under Section 231.103 for which the obligor is
606604 responsible[,] have been paid. The writ issued under this
607605 subsection may be based on an obligation in more than one support
608606 order.
609607 SECTION 37. Section 158.504(b), Family Code, is amended to
610608 read as follows:
611609 (b) An administrative writ of withholding issued under this
612610 subchapter may contain only the information that is necessary for
613611 the employer to withhold income for child support, [and] medical
614612 support, and dental support and shall specify the place where the
615613 withheld income is to be paid.
616614 SECTION 38. Section 158.507, Family Code, is amended to
617615 read as follows:
618616 Sec. 158.507. ADMINISTRATIVE WRIT TERMINATING WITHHOLDING.
619617 An administrative writ to terminate withholding may be issued and
620618 delivered to an employer by the Title IV-D agency when all current
621619 support, including medical support and dental support, [and] child
622620 support arrearages, and Title IV-D service fees authorized under
623621 Section 231.103 for which the obligor is responsible[,] have been
624622 paid.
625623 SECTION 39. Section 159.502(c), Family Code, is amended to
626624 read as follows:
627625 (c) Except as otherwise provided in Subsection (d) and
628626 Section 159.503, the employer shall withhold and distribute the
629627 funds as directed in the withholding order by complying with terms
630628 of the order that specify:
631629 (1) the duration and amount of periodic payments of
632630 current child support, stated as a sum certain;
633631 (2) the person designated to receive payments and the
634632 address to which the payments are to be forwarded;
635633 (3) medical support and dental support, whether in the
636634 form of periodic cash payments, stated as a sum certain, or ordering
637635 the obligor to provide health insurance coverage or dental
638636 insurance coverage for the child under a policy available through
639637 the obligor's employment;
640638 (4) the amount of periodic payments of fees and costs
641639 for a support enforcement agency, the issuing tribunal, and the
642640 obligee's attorney, stated as sums certain; and
643641 (5) the amount of periodic payments of arrearages and
644642 interest on arrearages, stated as sums certain.
645643 SECTION 40. The heading to Section 231.0011, Family Code,
646644 is amended to read as follows:
647645 Sec. 231.0011. DEVELOPMENT OF STATEWIDE INTEGRATED SYSTEM
648646 FOR CHILD SUPPORT, [AND] MEDICAL SUPPORT, AND DENTAL SUPPORT
649647 ENFORCEMENT.
650648 SECTION 41. Sections 231.0011(a) and (g), Family Code, are
651649 amended to read as follows:
652650 (a) The Title IV-D agency shall have final approval
653651 authority on any contract or proposal for delivery of Title IV-D
654652 services under this section and in coordination with the Texas
655653 Judicial Council, the Office of Court Administration of the Texas
656654 Judicial System, the federal Office of Child Support Enforcement,
657655 and state, county, and local officials, shall develop and implement
658656 a statewide integrated system for child support, [and] medical
659657 support, and dental support enforcement, employing federal, state,
660658 local, and private resources to:
661659 (1) unify child support registry functions;
662660 (2) record and track all child support orders entered
663661 in the state;
664662 (3) establish an automated enforcement process which
665663 will use delinquency monitoring, billing, and other enforcement
666664 techniques to ensure the payment of current support;
667665 (4) incorporate existing enforcement resources into
668666 the system to obtain maximum benefit from state and federal
669667 funding; and
670668 (5) ensure accountability for all participants in the
671669 process, including state, county, and local officials, private
672670 contractors, and the judiciary.
673671 (g) Participation in the statewide integrated system for
674672 child support, [and] medical support, and dental support
675673 enforcement by a county is voluntary, and nothing in this section
676674 shall be construed to mandate participation.
677675 SECTION 42. Section 231.002(e), Family Code, is amended to
678676 read as follows:
679677 (e) The Title IV-D agency may take the following
680678 administrative actions with respect to the location of a parent,
681679 the determination of parentage, and the establishment,
682680 modification, and enforcement of child support, [and] medical
683681 support, and dental support orders required by 42 U.S.C. Section
684682 666(c), without obtaining an order from any other judicial or
685683 administrative tribunal:
686684 (1) issue an administrative subpoena, as provided by
687685 Section 231.303, to obtain financial or other information;
688686 (2) order genetic testing for parentage
689687 determination, as provided by Chapter 233;
690688 (3) order income withholding, as provided by Chapter
691689 233, and issue an administrative writ of withholding, as provided
692690 by Chapter 158; and
693691 (4) take any action with respect to execution,
694692 collection, and release of a judgment or lien for child support
695693 necessary to satisfy the judgment or lien, as provided by Chapter
696694 157.
697695 SECTION 43. Section 231.101(a), Family Code, is amended to
698696 read as follows:
699697 (a) The Title IV-D agency may provide all services required
700698 or authorized to be provided by Part D of Title IV of the federal
701699 Social Security Act (42 U.S.C. Section 651 et seq.), including:
702700 (1) parent locator services;
703701 (2) paternity determination;
704702 (3) child support, [and] medical support, and dental
705703 support establishment;
706704 (4) review and adjustment of child support orders;
707705 (5) enforcement of child support, [and] medical
708706 support, and dental support orders; and
709707 (6) collection and distribution of child support
710708 payments.
711709 SECTION 44. Section 231.104(b), Family Code, is amended to
712710 read as follows:
713711 (b) An application for child support services is an
714712 assignment of support rights to enable the Title IV-D agency to
715713 establish and enforce child support, [and] medical support, and
716714 dental support obligations, but an assignment is not a condition of
717715 eligibility for services.
718716 SECTION 45. Section 231.123(a), Family Code, is amended to
719717 read as follows:
720718 (a) In order to maximize the amount of any tax refund to
721719 which an obligor may be entitled and which may be applied to child
722720 support, [and] medical support, and dental support obligations, the
723721 Title IV-D agency shall cooperate with volunteer income tax
724722 assistance programs in the state in informing obligors of the
725723 availability of the programs.
726724 SECTION 46. Section 231.301(a), Family Code, is amended to
727725 read as follows:
728726 (a) The parent locator service conducted by the Title IV-D
729727 agency shall be used to obtain information for:
730728 (1) child support establishment and enforcement
731729 purposes regarding the identity, social security number, location,
732730 employer and employment benefits, income, and assets or debts of
733731 any individual under an obligation to pay child support, [or]
734732 medical support, or dental support or to whom a support obligation
735733 is owed; or
736734 (2) the establishment of paternity.
737735 SECTION 47. Section 231.306, Family Code, is amended to
738736 read as follows:
739737 Sec. 231.306. MAXIMIZING MEDICAL SUPPORT AND DENTAL SUPPORT
740738 ESTABLISHMENT AND COLLECTION BY THE TITLE IV-D AGENCY. (a) On the
741739 installation of an automated child support enforcement system, the
742740 Title IV-D agency is strongly encouraged to:
743741 (1) maximize the collection of medical support and
744742 dental support; and
745743 (2) establish cash medical support orders for children
746744 eligible for medical assistance under the state Medicaid program
747745 for whom private insurance coverage is not available.
748746 (b) In this section:
749747 (1) "Medical[, "medical] support" has the meaning
750748 assigned by Section 101.020.
751749 (2) "Dental support" has the meaning assigned by
752750 Section 101.0095.
753751 SECTION 48. Section 233.001(a), Family Code, is amended to
754752 read as follows:
755753 (a) The purpose of the procedures specified in the child
756754 support review process authorized by this chapter is to enable the
757755 Title IV-D agency to take expedited administrative actions to
758756 establish, modify, and enforce child support, [and] medical
759757 support, and dental support obligations, to determine parentage, or
760758 to take any other action authorized or required under Part D, Title
761759 IV, of the federal Social Security Act (42 U.S.C. Section 651 et
762760 seq.), and Chapter 231.
763761 SECTION 49. Section 233.009(b), Family Code, is amended to
764762 read as follows:
765763 (b) The notice of proposed child support review order shall
766764 state:
767765 (1) the amount of periodic payment of child support
768766 due, the amount of any overdue support that is owed as an arrearage
769767 as of the date of the notice, and the amounts that are to be paid by
770768 the obligor for current support due and in payment on the arrearage
771769 owed;
772770 (2) that the person identified in the notice as the
773771 party responsible for payment of the support amounts may contest
774772 the notice order on the grounds that:
775773 (A) the respondent is not the responsible party;
776774 (B) the dependent child is no longer entitled to
777775 child support; or
778776 (C) the amount of monthly support or arrearage is
779777 incorrectly stated; and
780778 (3) that, if the person identified in the notice as the
781779 party responsible for payment of the support amounts does not
782780 contest the notice in writing or request a negotiation conference
783781 to discuss the notice not later than the 15th day after the date the
784782 notice was delivered, the Title IV-D agency may file a child support
785783 review order for child support, [and for] medical support, and
786784 dental support for the child as provided by Chapter 154 according to
787785 the information available to the agency.
788786 SECTION 50. Section 233.0095(b), Family Code, is amended to
789787 read as follows:
790788 (b) The notice of proposed child support review order shall
791789 state:
792790 (1) the amount of periodic payment of child support
793791 due;
794792 (2) that the person identified in the notice as the
795793 party responsible for payment of the support amounts may only
796794 contest the amount of monthly support; and
797795 (3) that, if the person identified in the notice as the
798796 party responsible for payment of the support amounts does not
799797 contest the notice in writing or request a negotiation conference
800798 to discuss the notice not later than the 15th day after the date the
801799 notice was delivered, the Title IV-D agency may file the child
802800 support order for child support, [and for] medical support, and
803801 dental support for the child as provided by Chapter 154 according to
804802 the information available to the agency.
805803 SECTION 51. Section 233.013(c), Family Code, is amended to
806804 read as follows:
807805 (c) Notwithstanding Subsection (b), the Title IV-D agency
808806 may, at any time and without a showing of material and substantial
809807 change in the circumstances of the parties, file a child support
810808 review order that has the effect of modifying an existing order for
811809 child support to provide medical support or dental support for a
812810 child if the existing order does not provide health care coverage
813811 for the child as required under Section 154.182 or dental care
814812 coverage for the child as required under Section 154.1825.
815813 SECTION 52. Section 233.017(a), Family Code, is amended to
816814 read as follows:
817815 (a) An order issued under this chapter must be reviewed and
818816 signed by an attorney of the Title IV-D agency and must contain all
819817 provisions that are appropriate for an order under this title,
820818 including current child support, medical support, dental support, a
821819 determination of any arrearages or retroactive support, and, if not
822820 otherwise ordered, income withholding.
823821 SECTION 53. Section 234.002, Family Code, is amended to
824822 read as follows:
825823 Sec. 234.002. INTEGRATED SYSTEM FOR CHILD SUPPORT, [AND]
826824 MEDICAL SUPPORT, AND DENTAL SUPPORT ENFORCEMENT. The statewide
827825 integrated system for child support, [and] medical support, and
828826 dental support enforcement under Chapter 231 shall be part of the
829827 state case registry and state disbursement unit authorized by this
830828 subchapter.
831829 SECTION 54. Section 71.035(a), Government Code, is amended
832830 to read as follows:
833831 (a) The council shall gather judicial statistics and other
834832 pertinent information from the several state judges and other court
835833 officials of this state. In addition, the council shall implement a
836834 monthly tracking system to ensure accountability for counties and
837835 courts which participate in the statewide integrated system for
838836 child support, [and] medical support, and dental support
839837 enforcement established under Section 231.0011, Family Code. As a
840838 duty of office, the district clerks and county clerks serving the
841839 affected courts shall report monthly such information as may be
842840 required by the council, including, at a minimum, the time required
843841 to enforce cases from date of delinquency, from date of filing, and
844842 from date of service until date of disposition. Such information as
845843 is necessary to complete the report and not directly within the
846844 control of the district or county clerk, such as date of
847845 delinquency, shall be provided to the clerk by the child support
848846 registry or by the enforcement agency providing Title IV-D
849847 enforcement services in the court. The monthly report shall be
850848 transmitted to the Office of Court Administration of the Texas
851849 Judicial System no later than the 20th day of the month following
852850 the month reported, in such form as may be prescribed by the Office
853851 of Court Administration, which may include electronic data
854852 transfer. Copies of such reports shall be maintained in the office
855853 of the appropriate district or county clerk for a period of at least
856854 two years and shall be available to the public for inspection and
857855 reproduction.
858856 SECTION 55. Section 848.006(c), Insurance Code, is amended
859857 to read as follows:
860858 (c) Subsection (a) does not apply to an individual:
861859 (1) who is required to obtain or maintain health
862860 benefit plan coverage:
863861 (A) written by an institution of higher education
864862 at which the individual is or will be enrolled as a student; or
865863 (B) under an order requiring medical support or
866864 dental support for a child; or
867865 (2) who voluntarily applies for benefits under a state
868866 administered program under Title XIX of the Social Security Act (42
869867 U.S.C. Section 1396 et seq.), or Title XXI of the Social Security
870868 Act (42 U.S.C. Section 1397aa et seq.).
871869 SECTION 56. Section 1201.053(b), Insurance Code, is amended
872870 to read as follows:
873871 (b) On the application of an adult member of a family, an
874872 individual accident and health insurance policy may, at the time of
875873 original issuance or by subsequent amendment, insure two or more
876874 eligible members of the adult's family, including a spouse,
877875 unmarried children younger than 25 years of age, including a
878876 grandchild of the adult as described by Section 1201.062(a)(1), a
879877 child the adult is required to insure under a medical support order
880878 or dental support order, if the policy provides dental coverage,
881879 issued under Chapter 154, Family Code, or enforceable by a court in
882880 this state, and any other individual dependent on the adult.
883881 SECTION 57. Section 1201.062(a), Insurance Code, is amended
884882 to read as follows:
885883 (a) An individual or group accident and health insurance
886884 policy that is delivered, issued for delivery, or renewed in this
887885 state, including a policy issued by a corporation operating under
888886 Chapter 842, or a self-funded or self-insured welfare or benefit
889887 plan or program, to the extent that regulation of the plan or
890888 program is not preempted by federal law, that provides coverage for
891889 a child of an insured or group member, on payment of a premium, must
892890 provide coverage for:
893891 (1) each grandchild of the insured or group member if
894892 the grandchild is:
895893 (A) unmarried;
896894 (B) younger than 25 years of age; and
897895 (C) a dependent of the insured or group member
898896 for federal income tax purposes at the time application for
899897 coverage of the grandchild is made; and
900898 (2) each child for whom the insured or group member
901899 must provide medical support or dental support, if the policy
902900 provides dental coverage, under an order issued under Chapter 154,
903901 Family Code, or enforceable by a court in this state.
904902 SECTION 58. Section 1201.063, Insurance Code, is amended to
905903 read as follows:
906904 Sec. 1201.063. PROHIBITION OF CERTAIN CRITERIA RELATING TO
907905 CHILD'S COVERAGE IN INDIVIDUAL OR GROUP POLICY. Regarding a
908906 natural or adopted child of an insured or group member or a child
909907 for whom the insured or group member must provide medical support or
910908 dental support, if the policy provides dental coverage, under an
911909 order issued under Chapter 154, Family Code, or enforceable by a
912910 court in this state, an individual or group accident and health
913911 insurance policy that provides coverage for a child of an insured or
914912 group member may not set a different premium for the child, exclude
915913 the child from coverage, or discontinue coverage of the child
916914 because:
917915 (1) the child does not reside with the insured or group
918916 member; or
919917 (2) the insured or group member does not claim the
920918 child as an exemption for federal income tax purposes under Section
921919 151(c) [151(c)(1)(B)], Internal Revenue Code of 1986.
922920 SECTION 59. The heading to Chapter 1504, Insurance Code, is
923921 amended to read as follows:
924922 CHAPTER 1504. MEDICAL AND DENTAL CHILD SUPPORT
925923 SECTION 60. Section 1504.001(4), Insurance Code, is amended
926924 to read as follows:
927925 (4) "Benefit [Health benefit] plan issuer" means:
928926 (A) an insurance company, group hospital service
929927 corporation, or health maintenance organization that delivers or
930928 issues for delivery an individual, group, blanket, or franchise
931929 insurance policy or agreement, a group hospital service contract,
932930 or an evidence of coverage that provides benefits for medical or
933931 surgical expenses incurred as a result of an accident or sickness,
934932 or dental expenses;
935933 (B) a governmental entity subject to Subchapter
936934 D, Chapter 1355, Subchapter C, Chapter 1364, Chapter 1578, Article
937935 3.51-1, 3.51-4, or 3.51-5, or Chapter 177, Local Government Code;
938936 (C) the issuer of a multiple employer welfare
939937 arrangement as defined by Section 846.001; or
940938 (D) the issuer of a group health plan as defined
941939 by Section 607, Employee Retirement Income Security Act of 1974 (29
942940 U.S.C. Section 1167).
943941 SECTION 61. Section 1504.002(b), Insurance Code, is amended
944942 to read as follows:
945943 (b) The commissioner shall adopt rules that define
946944 "comparable health or dental coverage" in a manner that:
947945 (1) is consistent with federal law; and
948946 (2) complies with the requirements necessary to
949947 maintain federal Medicaid funding.
950948 SECTION 62. Section 1504.003, Insurance Code, is amended to
951949 read as follows:
952950 Sec. 1504.003. VIOLATION OF CHAPTER: RELIEF AVAILABLE TO
953951 INJURED PERSON. A [health] benefit plan issuer that violates this
954952 chapter is subject to the same penalties, and an injured person has
955953 the same rights and remedies, as those provided by Subchapter D,
956954 Chapter 541.
957955 SECTION 63. The heading to Subchapter B, Chapter 1504,
958956 Insurance Code, is amended to read as follows:
959957 SUBCHAPTER B. DUTIES OF [HEALTH] BENEFIT PLAN ISSUER
960958 SECTION 64. Section 1504.051, Insurance Code, is amended to
961959 read as follows:
962960 Sec. 1504.051. ENROLLMENT OF CERTAIN CHILDREN REQUIRED.
963961 (a) A [health] benefit plan issuer shall permit a parent to enroll
964962 a child in dependent health or dental coverage offered through the
965963 issuer regardless of any enrollment period restriction if the
966964 parent is:
967965 (1) eligible for dependent health or dental coverage;
968966 and
969967 (2) required by a court order or administrative order
970968 to provide health or dental insurance coverage for the child.
971969 (b) A [health] benefit plan issuer shall enroll a child of a
972970 parent described by Subsection (a) in dependent health or dental
973971 coverage offered through the issuer if:
974972 (1) the parent does not apply to obtain health or
975973 dental coverage for the child through the issuer; and
976974 (2) the child, a custodial parent of the child, or a
977975 child support agency having a duty to collect or enforce support for
978976 the child applies for the coverage.
979977 SECTION 65. Section 1504.052, Insurance Code, is amended to
980978 read as follows:
981979 Sec. 1504.052. CHILD RESIDING OUTSIDE SERVICE AREA;
982980 COMPARABLE HEALTH OR DENTAL COVERAGE REQUIRED. (a) A [health]
983981 benefit plan issuer may not deny enrollment of a child under the
984982 health or dental coverage of the child's parent on the ground that
985983 the child does not reside in the issuer's service area.
986984 (b) A [health] benefit plan issuer may not enforce an
987985 otherwise applicable provision of the health or dental coverage
988986 that would deny, limit, or reduce payment of a claim for a covered
989987 child who resides outside the issuer's service area but inside the
990988 United States.
991989 (c) For a covered child who resides outside the [health]
992990 benefit plan issuer's service area and whose coverage under a
993991 policy or plan is required by a medical support order or dental
994992 support order, the issuer shall provide coverage that is comparable
995993 health or dental coverage to that provided to other dependents
996994 under the policy or plan.
997995 (d) Comparable health or dental coverage may include
998996 coverage in which a [health] benefit plan issuer uses different
999997 procedures for service delivery and health care provider
1000998 reimbursement. Comparable health or dental coverage may not
1001999 include coverage:
10021000 (1) that is limited to emergency services only; or
10031001 (2) for which the issuer charges a higher premium.
10041002 SECTION 66. Section 1504.053, Insurance Code, is amended to
10051003 read as follows:
10061004 Sec. 1504.053. CANCELLATION OR NONRENEWAL OF COVERAGE FOR
10071005 CERTAIN CHILDREN. (a) A [health] benefit plan issuer may not
10081006 cancel or refuse to renew health or dental coverage provided to a
10091007 child who is enrolled or entitled to enrollment under this chapter
10101008 unless satisfactory written evidence is filed with the issuer
10111009 showing that:
10121010 (1) the court or administrative order that required
10131011 the coverage is not in effect; or
10141012 (2) the child:
10151013 (A) is enrolled in comparable health or dental
10161014 coverage; or
10171015 (B) will be enrolled in comparable health or
10181016 dental coverage that takes effect not later than the effective date
10191017 of the cancellation or nonrenewal.
10201018 (b) For purposes of this section, a child is not enrolled or
10211019 entitled to enrollment under this chapter if the child's
10221020 eligibility for health or dental coverage ends because the parent
10231021 ceases to be eligible for dependent health or dental coverage.
10241022 SECTION 67. Section 1504.054, Insurance Code, is amended to
10251023 read as follows:
10261024 Sec. 1504.054. CONTINUATION OR CONVERSION OF COVERAGE.
10271025 (a) If a child's eligibility for dependent health or dental
10281026 coverage ends because the parent ceases to be eligible for the
10291027 coverage and the coverage provides for the continuation or
10301028 conversion of the coverage for the child, the [health] benefit plan
10311029 issuer shall notify the custodial parent and the child support
10321030 agency of the costs and other requirements for continuing or
10331031 converting the coverage.
10341032 (b) The [health] benefit plan issuer shall, on application
10351033 of a parent of the child, a child support agency, or the child,
10361034 enroll or continue enrollment of a child whose eligibility for
10371035 coverage ended under Subsection (a).
10381036 SECTION 68. Section 1504.055, Insurance Code, is amended to
10391037 read as follows:
10401038 Sec. 1504.055. PROCEDURE FOR CLAIMS. (a) A [health]
10411039 benefit plan issuer that provides health or dental coverage to a
10421040 child through a covered parent of the child shall:
10431041 (1) provide to each custodial parent of the child or to
10441042 an adult child documents and other information necessary for the
10451043 child to obtain benefits under the coverage, including:
10461044 (A) the name of the issuer;
10471045 (B) the number of the policy or evidence of
10481046 coverage;
10491047 (C) a copy of the policy or evidence of coverage
10501048 and schedule of benefits;
10511049 (D) a health or dental coverage membership card;
10521050 (E) claim forms; and
10531051 (F) any other document or information necessary
10541052 to submit a claim in accordance with the issuer's policies and
10551053 procedures;
10561054 (2) permit a custodial parent, health care provider,
10571055 state agency that has been assigned medical or dental support
10581056 rights, or adult child to submit claims for covered services
10591057 without the approval of the covered parent; and
10601058 (3) make payments on covered claims submitted in
10611059 accordance with this subsection directly to a custodial parent,
10621060 health care or dental care provider, adult child, or state agency
10631061 making a claim.
10641062 (b) A [health] benefit plan issuer shall provide to a state
10651063 agency that provides medical assistance, including medical
10661064 assistance for dental services, to the child or shall provide to a
10671065 child support agency that enforces medical or dental support on
10681066 behalf of a child the information necessary to obtain reimbursement
10691067 of medical or dental services provided to or paid on behalf of the
10701068 child.
10711069 SECTION 69. Section 1504.101, Insurance Code, is amended to
10721070 read as follows:
10731071 Sec. 1504.101. DENIAL OF ENROLLMENT ON CERTAIN GROUNDS
10741072 PROHIBITED. A [health] benefit plan issuer may not deny enrollment
10751073 of a child under the health or dental coverage of the child's parent
10761074 on the ground that the child:
10771075 (1) has a preexisting condition;
10781076 (2) was born out of wedlock;
10791077 (3) is not claimed as a dependent on the parent's
10801078 federal income tax return;
10811079 (4) does not reside with the parent; or
10821080 (5) receives or has applied for medical assistance.
10831081 SECTION 70. Section 1504.102, Insurance Code, is amended to
10841082 read as follows:
10851083 Sec. 1504.102. ASSIGNMENT OF MEDICAL OR DENTAL SUPPORT
10861084 RIGHTS: DIFFERENT REQUIREMENTS PROHIBITED. A [health] benefit
10871085 plan issuer may not require a state agency that has been assigned
10881086 the rights of an individual who is eligible for medical assistance
10891087 and is covered for health or dental benefits from the issuer to
10901088 comply with a requirement that is different from a requirement
10911089 imposed on an agent or assignee of any other covered individual.
10921090 SECTION 71. Section 402.085, Labor Code, is amended to read
10931091 as follows:
10941092 Sec. 402.085. EXCEPTIONS TO CONFIDENTIALITY. (a) The
10951093 division shall release information on a claim to:
10961094 (1) the Texas Department of Insurance for any
10971095 statutory or regulatory purpose, including a research purpose under
10981096 Chapter 405;
10991097 (2) a legislative committee for legislative purposes;
11001098 (3) a state or federal elected official requested in
11011099 writing to provide assistance by a constituent who qualifies to
11021100 obtain injury information under Section 402.084(b), if the request
11031101 for assistance is provided to the division;
11041102 (4) the attorney general or another entity that
11051103 provides child support services under Part D, Title IV, Social
11061104 Security Act (42 U.S.C. Section 651 et seq.), relating to:
11071105 (A) establishing, modifying, or enforcing a child
11081106 support, [or] medical support, or dental support obligation; or
11091107 (B) locating an absent parent; or
11101108 (5) the office of injured employee counsel for any
11111109 statutory or regulatory purpose that relates to a duty of that
11121110 office as provided by Section 404.111(a).
11131111 (b) The division may release information on a claim to a
11141112 governmental agency, political subdivision, or regulatory body to use
11151113 to:
11161114 (1) investigate an allegation of a criminal offense or
11171115 licensing or regulatory violation;
11181116 (2) provide:
11191117 (A) unemployment compensation benefits;
11201118 (B) crime victims compensation benefits;
11211119 (C) vocational rehabilitation services; or
11221120 (D) health care benefits;
11231121 (3) investigate occupational safety or health
11241122 violations;
11251123 (4) verify income on an application for benefits under
11261124 an income-based state or federal assistance program; or
11271125 (5) assess financial resources in an action, including
11281126 an administrative action, to:
11291127 (A) establish, modify, or enforce a child
11301128 support, [or] medical support, or dental support obligation;
11311129 (B) establish paternity;
11321130 (C) locate an absent parent; or
11331131 (D) cooperate with another state in an action
11341132 authorized under Part D, Title IV, Social Security Act (42 U.S.C.
11351133 Section 651 et seq.), or Chapter 231, Family Code.
11361134 SECTION 72. (a) The changes in law made by this Act apply
11371135 to a suit affecting the parent-child relationship filed on or after
11381136 the effective date of this Act. A suit affecting the parent-child
11391137 relationship filed before the effective date of this Act is
11401138 governed by the law in effect on the date the suit was filed, and the
11411139 former law is continued in effect for that purpose.
11421140 (b) The change in law made by this Act does not by itself
11431141 constitute a material and substantial change of circumstances under
11441142 Section 156.401, Family Code, as amended by this Act, sufficient to
11451143 warrant modification of a court order or a portion of a decree that
11461144 provides for the support of a child rendered before the effective
11471145 date of this Act.
11481146 SECTION 73. This Act takes effect September 1, 2018.
1147+ ______________________________ ______________________________
1148+ President of the Senate Speaker of the House
1149+ I hereby certify that S.B. No. 550 passed the Senate on
1150+ May 4, 2015, by the following vote: Yeas 30, Nays 1.
1151+ ______________________________
1152+ Secretary of the Senate
1153+ I hereby certify that S.B. No. 550 passed the House on
1154+ May 27, 2015, by the following vote: Yeas 142, Nays 2, two
1155+ present not voting.
1156+ ______________________________
1157+ Chief Clerk of the House
1158+ Approved:
1159+ ______________________________
1160+ Date
1161+ ______________________________
1162+ Governor