1 | 1 | | 85R12887 PMO-D |
---|
2 | 2 | | By: Muñoz, Jr. H.B. No. 2900 |
---|
3 | 3 | | |
---|
4 | 4 | | |
---|
5 | 5 | | A BILL TO BE ENTITLED |
---|
6 | 6 | | AN ACT |
---|
7 | 7 | | relating to provision of certain preventive health care services to |
---|
8 | 8 | | certain health benefit plan and health maintenance organization |
---|
9 | 9 | | enrollees. |
---|
10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
11 | 11 | | SECTION 1. Subchapter I, Chapter 843, Insurance Code, is |
---|
12 | 12 | | amended by adding Section 843.324 to read as follows: |
---|
13 | 13 | | Sec. 843.324. CONTRACT PROVISION RELATING TO PREVENTIVE |
---|
14 | 14 | | HEALTH CARE SERVICES. A contract between a health maintenance |
---|
15 | 15 | | organization and a physician or provider requiring the physician or |
---|
16 | 16 | | provider to provide preventive health care services to enrollees |
---|
17 | 17 | | must require the physician or provider to provide covered |
---|
18 | 18 | | preventive health care services to an enrollee not later than the |
---|
19 | 19 | | 30th day after the date the enrollee requests an appointment with |
---|
20 | 20 | | the physician or provider for the preventive health care services. |
---|
21 | 21 | | SECTION 2. Subchapter B, Chapter 1301, Insurance Code, is |
---|
22 | 22 | | amended by adding Section 1301.070 to read as follows: |
---|
23 | 23 | | Sec. 1301.070. CONTRACT PROVISION RELATING TO PREVENTIVE |
---|
24 | 24 | | HEALTH CARE SERVICES. A preferred provider contract requiring the |
---|
25 | 25 | | preferred provider to provide preventive health care services to |
---|
26 | 26 | | insureds must require the preferred provider to provide covered |
---|
27 | 27 | | preventive health care services to an insured not later than the |
---|
28 | 28 | | 30th day after the date the insured requests an appointment with the |
---|
29 | 29 | | preferred provider for the preventive health care services. |
---|
30 | 30 | | SECTION 3. Sections 843.324 and 1301.070, Insurance Code, |
---|
31 | 31 | | as added by this Act, apply only to a contract entered into or |
---|
32 | 32 | | renewed on or after January 1, 2018. |
---|
33 | 33 | | SECTION 4. This Act takes effect September 1, 2017. |
---|