TX
Texas House Bill HB2367

Texas 2019 - 86th Regular

Texas House Bill HB2367 Compare Versions

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1+86R10291 MEW-D
12 By: Bonnen of Galveston H.B. No. 2367
23
34
45 A BILL TO BE ENTITLED
56 AN ACT
67 relating to a prohibition on bids by certain insurance and health
78 benefit providers to administer or provide coverage under certain
89 group benefit plans for governmental employees.
910 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1011 SECTION 1. Subchapter E, Chapter 1551, Insurance Code, is
1112 amended by adding Section 1551.2131 to read as follows:
1213 Sec. 1551.2131. CERTAIN CARRIERS PROHIBITED FROM BIDDING.
13- (a) The commissioner shall provide notice to the board of trustees
14- if the commissioner finds that a carrier has terminated a contract
14+ A carrier is prohibited from submitting a bid under Section
15+ 1551.212 or 1551.213 for two competitive bidding cycles if the
16+ board of trustees finds that the carrier has terminated a contract
1517 with a physician or provider for the provision of services solely
1618 because the physician or provider informed an enrollee in a health
1719 benefit plan offered or administered by the carrier of the full
1820 range of physicians and providers, including out-of-network
19- providers, available to the enrollee after previously being
20- sanctioned or penalized by the department for engaging in the
21- conduct described by this subsection.
22- (b) If the board of trustees receives notice under
23- Subsection (a) regarding a carrier, the carrier is prohibited from
24- submitting a bid under Section 1551.212 or 1551.213 for two
25- competitive bidding cycles.
21+ providers, available to the enrollee.
2622 SECTION 2. Subchapter C, Chapter 1575, Insurance Code, is
2723 amended by adding Section 1575.1061 to read as follows:
2824 Sec. 1575.1061. CERTAIN HEALTH CARE PROVIDERS PROHIBITED
29- FROM BIDDING. (a) The commissioner shall provide notice to the
30- trustee if the commissioner finds that a health care provider has
31- terminated a contract with a physician or provider for the
32- provision of services solely because the physician or provider
33- informed an enrollee in a health benefit plan offered or
25+ FROM BIDDING. A health care provider described by Section 1575.109
26+ is prohibited from submitting a bid under Section 1575.106 for two
27+ competitive bidding cycles if the trustee finds that the health
28+ care provider has terminated a contract with a physician or
29+ provider for the provision of services solely because the physician
30+ or provider informed an enrollee in a health benefit plan offered or
3431 administered by the health care provider of the full range of
3532 physicians and providers, including out-of-network providers,
36- available to the enrollee after previously being sanctioned or
37- penalized by the department for engaging in the conduct described
38- by this subsection.
39- (b) If the trustee receives notice under Subsection (a)
40- regarding a health care provider described by Section 1575.109, the
41- health care provider is prohibited from submitting a bid under
42- Section 1575.106 for two competitive bidding cycles.
33+ available to the enrollee.
4334 SECTION 3. Subchapter B, Chapter 1579, Insurance Code, is
4435 amended by adding Section 1579.0541 to read as follows:
4536 Sec. 1579.0541. CERTAIN HEALTH CARE AND BENEFIT PROVIDERS
46- PROHIBITED FROM BIDDING. (a) The commissioner shall provide
47- notice to the trustee if the commissioner finds that a health care
48- or benefit provider has terminated a contract with a physician or
49- provider for the provision of services solely because the physician
50- or provider informed an enrollee in a health coverage plan offered
51- or administered by the health care or benefit provider of the full
52- range of physicians and providers, including out-of-network
53- providers, available to the enrollee after previously being
54- sanctioned or penalized by the department for engaging in the
55- conduct described by this subsection.
56- (b) If the trustee receives notice under Subsection (a)
57- regarding a health care or benefit provider, the health care or
58- benefit provider is prohibited from submitting a bid under Section
59- 1579.054 for two competitive bidding cycles.
37+ PROHIBITED FROM BIDDING. A health care or benefit provider is
38+ prohibited from submitting a bid under Section 1579.054 for two
39+ competitive bidding cycles if the trustee finds that the health
40+ care or benefit provider has terminated a contract with a physician
41+ or provider for the provision of services solely because the
42+ physician or provider informed an enrollee in a health coverage
43+ plan offered or administered by the health care or benefit provider
44+ of the full range of physicians and providers, including
45+ out-of-network providers, available to the enrollee.
6046 SECTION 4. This Act takes effect September 1, 2019.