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