1 | 1 | | 86R4735 PMO-F |
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2 | 2 | | By: King of Parker H.B. No. 1783 |
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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 premium and maintenance tax credits related to certain |
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8 | 8 | | fees paid under the Patient Protection and Affordable Care Act. |
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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. Chapter 222, Insurance Code, is amended by |
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11 | 11 | | adding Section 222.0071 to read as follows: |
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12 | 12 | | Sec. 222.0071. CREDIT FOR CERTAIN FEDERAL FEES PAID. (a) |
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13 | 13 | | In this section: |
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14 | 14 | | (1) "Affordable Care Act" means the Patient Protection |
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15 | 15 | | and Affordable Care Act (Pub. L. No. 111-148), as amended by the |
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16 | 16 | | Health Care and Education Reconciliation Act of 2010 (Pub. L. |
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17 | 17 | | No. 111-152). |
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18 | 18 | | (2) "Nationwide health premium or revenue amount" |
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19 | 19 | | means the amount of gross premium and revenue aggregated on a |
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20 | 20 | | nationwide basis attributable to lines of business identified by |
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21 | 21 | | the commissioner under this section and taxed under this chapter. |
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22 | 22 | | (3) "Provider fee amount" means the amount of health |
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23 | 23 | | insurer provider fees that an insurer or health maintenance |
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24 | 24 | | organization pays under Section 9010, Affordable Care Act, and may |
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25 | 25 | | recoup through adjustments to the insurer's premium rate or the |
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26 | 26 | | health maintenance organization's formula or method for computing |
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27 | 27 | | its schedule of charges, as applicable. |
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28 | 28 | | (b) An insurer or health maintenance organization is |
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29 | 29 | | entitled to a credit on the amount of tax due under this chapter in a |
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30 | 30 | | taxable year in an amount equal to the product of the insurer's or |
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31 | 31 | | health maintenance organization's provider fee amount multiplied |
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32 | 32 | | by the percentage of the insurer's or health maintenance |
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33 | 33 | | organization's nationwide health premium or revenue amount that the |
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34 | 34 | | insurer or health maintenance organization allocates to this state |
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35 | 35 | | multiplied by the rate of tax imposed under this chapter. |
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36 | 36 | | (c) The commissioner by rule shall: |
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37 | 37 | | (1) establish formulas to calculate the amount of the |
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38 | 38 | | credit authorized by Subsection (b), including a formula to |
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39 | 39 | | calculate: |
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40 | 40 | | (A) an insurer's or health maintenance |
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41 | 41 | | organization's provider fee amount; and |
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42 | 42 | | (B) the provider fee amount attributable to an |
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43 | 43 | | insurer or health maintenance organization if the fees are imposed |
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44 | 44 | | on a controlled group, as defined by Section 9010(c)(3), Affordable |
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45 | 45 | | Care Act; and |
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46 | 46 | | (2) identify lines of business included in the |
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47 | 47 | | calculation of the nationwide health premium or revenue amount. |
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48 | 48 | | (d) The lines of business identified by the commissioner |
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49 | 49 | | under Subsection (c) may not include the business of life |
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50 | 50 | | insurance. |
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51 | 51 | | SECTION 2. Chapter 257, Insurance Code, is amended by |
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52 | 52 | | adding Section 257.005 to read as follows: |
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53 | 53 | | Sec. 257.005. CREDIT FOR CERTAIN FEDERAL FEES PAID. (a) In |
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54 | 54 | | this section: |
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55 | 55 | | (1) "Affordable Care Act" means the Patient Protection |
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56 | 56 | | and Affordable Care Act (Pub. L. No. 111-148), as amended by the |
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57 | 57 | | Health Care and Education Reconciliation Act of 2010 (Pub. L. |
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58 | 58 | | No. 111-152). |
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59 | 59 | | (2) "Nationwide health premium amount" means the |
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60 | 60 | | amount of gross premium aggregated on a nationwide basis |
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61 | 61 | | attributable to lines of business identified by the commissioner |
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62 | 62 | | under this section and taxed under this chapter. |
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63 | 63 | | (3) "Provider fee amount" means the amount of health |
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64 | 64 | | insurer provider fees that an insurer pays under Section 9010, |
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65 | 65 | | Affordable Care Act, and may recoup through adjustments to the |
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66 | 66 | | insurer's premium rate. |
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67 | 67 | | (b) An insurer is entitled to a credit on the amount of tax |
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68 | 68 | | due under this chapter in a taxable year in an amount equal to the |
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69 | 69 | | product of the insurer's provider fee amount multiplied by the |
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70 | 70 | | percentage of the insurer's nationwide health premium amount that |
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71 | 71 | | the insurer allocates to this state multiplied by the rate of tax |
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72 | 72 | | imposed under this chapter. |
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73 | 73 | | (c) The commissioner by rule shall: |
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74 | 74 | | (1) establish formulas to calculate the amount of the |
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75 | 75 | | credit authorized by Subsection (b), including a formula to |
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76 | 76 | | calculate: |
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77 | 77 | | (A) an insurer's provider fee amount; and |
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78 | 78 | | (B) the provider fee amount attributable to an |
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79 | 79 | | insurer if the fees are imposed on a controlled group, as defined by |
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80 | 80 | | Section 9010(c)(3), Affordable Care Act; and |
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81 | 81 | | (2) identify lines of business included in the |
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82 | 82 | | calculation of the nationwide health premium amount. |
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83 | 83 | | (d) The lines of business identified by the commissioner |
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84 | 84 | | under Subsection (c) may not include the business of life |
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85 | 85 | | insurance. |
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86 | 86 | | SECTION 3. The changes in law made by this Act apply only to |
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87 | 87 | | a tax liability accruing on or after January 1, 2014. |
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88 | 88 | | SECTION 4. The comptroller of public accounts and |
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89 | 89 | | commissioner of insurance shall adopt rules necessary to implement |
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90 | 90 | | the changes in law made by this Act. |
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91 | 91 | | SECTION 5. This Act takes effect September 1, 2019. |
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