| 1 | 1 | | 84R9539 PMO-F |
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| 2 | 2 | | By: Creighton S.B. No. 644 |
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| 3 | 3 | | |
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| 4 | 4 | | |
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| 5 | 5 | | A BILL TO BE ENTITLED |
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| 6 | 6 | | AN ACT |
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| 7 | 7 | | relating to health insurance identification cards issued by |
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| 8 | 8 | | qualified health plan issuers. |
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| 9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 10 | 10 | | SECTION 1. Title 8, Insurance Code, is amended by adding |
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| 11 | 11 | | Subtitle L to read as follows: |
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| 12 | 12 | | SUBTITLE L. QUALIFIED HEALTH PLAN MANDATORY DISCLOSURES |
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| 13 | 13 | | CHAPTER 1693. QUALIFIED HEALTH PLAN IDENTIFICATION CARDS |
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| 14 | 14 | | Sec. 1693.001. DEFINITIONS. Except as provided by Section |
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| 15 | 15 | | 1693.003, in this chapter, "advance payments of the premium tax |
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| 16 | 16 | | credit," "enrollee," "qualified health plan," and "qualified |
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| 17 | 17 | | health plan issuer" have the meanings assigned by 45 C.F.R. Section |
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| 18 | 18 | | 155.20 as that section existed on January 1, 2015. |
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| 19 | 19 | | Sec. 1693.002. REQUIRED INFORMATION. An identification |
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| 20 | 20 | | card or other similar document issued by a qualified health plan |
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| 21 | 21 | | issuer to an enrollee of a qualified health plan in this state must, |
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| 22 | 22 | | in addition to any requirement under other law, including Sections |
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| 23 | 23 | | 843.209, 1301.162, and 1369.153, display on the card or document in |
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| 24 | 24 | | a location of the issuer's choice: |
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| 25 | 25 | | (1) the acronym "QHP"; or |
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| 26 | 26 | | (2) if the enrollee receives advance payment of the |
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| 27 | 27 | | premium tax credit, the acronym "QHP-S". |
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| 28 | 28 | | Sec. 1693.003. COMMISSIONER DETERMINATIONS REGARDING |
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| 29 | 29 | | FEDERAL REGULATIONS. (a) The commissioner shall monitor 45 C.F.R. |
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| 30 | 30 | | Section 155.20 for amendments to the definitions listed in Section |
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| 31 | 31 | | 1693.001 and determine if it is in the best interest of the state to |
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| 32 | 32 | | adopt an amended definition for purposes of this chapter. If the |
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| 33 | 33 | | commissioner determines that it is in the best interest of the state |
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| 34 | 34 | | to adopt the amended definition, the commissioner by rule shall |
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| 35 | 35 | | adopt the amended definition. |
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| 36 | 36 | | (b) In making the determination about an amendment, the |
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| 37 | 37 | | commissioner shall consider, in addition to other factors |
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| 38 | 38 | | affecting the public interest, the beneficial and adverse effects |
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| 39 | 39 | | the amendment may have on: |
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| 40 | 40 | | (1) individuals who are receiving medical care and |
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| 41 | 41 | | health care services in this state; and |
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| 42 | 42 | | (2) health care providers and physicians. |
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| 43 | 43 | | Sec. 1693.004. REPORT TO LEGISLATURE. The commissioner |
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| 44 | 44 | | shall prepare a report of a determination made under Section |
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| 45 | 45 | | 1693.003, including an explanation of the reasons for the |
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| 46 | 46 | | determination, and file the report with the presiding officer of |
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| 47 | 47 | | each house of the legislature not later than the 30th day after the |
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| 48 | 48 | | date the determination is made. |
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| 49 | 49 | | Sec. 1693.005. RULES. The commissioner may adopt rules as |
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| 50 | 50 | | necessary to administer and enforce this chapter. |
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| 51 | 51 | | SECTION 2. This Act takes effect September 1, 2015. |
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