1 | 1 | | 86R6786 SCL-D |
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2 | 2 | | By: Lucio III H.B. No. 2582 |
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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 required notice of the cost and health benefit plan |
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8 | 8 | | coverage of newborn screening tests. |
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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. Subchapter B, Chapter 33, Health and Safety |
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11 | 11 | | Code, is amended by adding Section 33.019 to read as follows: |
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12 | 12 | | Sec. 33.019. NOTICE OF COST. (a) The department shall |
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13 | 13 | | publish on its Internet website the cost of a newborn screening test |
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14 | 14 | | kit to be used to comply with the test requirements of Section |
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15 | 15 | | 33.011. |
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16 | 16 | | (b) The department may change the cost published under |
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17 | 17 | | Subsection (a) not later than the 90th day before the date the |
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18 | 18 | | department publishes notice of the change on its Internet website. |
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19 | 19 | | If the department changes the cost under this subsection, the |
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20 | 20 | | department shall retain a record of the previous cost until the |
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21 | 21 | | first anniversary of the date of the change. |
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22 | 22 | | SECTION 2. Section 1271.154, Insurance Code, is amended to |
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23 | 23 | | read as follows: |
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24 | 24 | | Sec. 1271.154. WELL-CHILD CARE FROM BIRTH. (a) In this |
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25 | 25 | | section, "well-child care from birth" has the meaning used under |
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26 | 26 | | Section 1302, Public Health Service Act (42 U.S.C. Section 300e-1), |
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27 | 27 | | and its subsequent amendments. The term includes administration of |
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28 | 28 | | newborn screening required by the [Texas] Department of State |
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29 | 29 | | Health Services and the cost of the newborn screening test kit |
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30 | 30 | | described by Section 33.019, Health and Safety Code. |
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31 | 31 | | (b) A health maintenance organization shall ensure that |
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32 | 32 | | each health care plan provided by the health maintenance |
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33 | 33 | | organization includes well-child care from birth that complies |
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34 | 34 | | with: |
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35 | 35 | | (1) federal requirements adopted under Chapter XI, |
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36 | 36 | | Public Health Service Act (42 U.S.C. Section 300e et seq.), and its |
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37 | 37 | | subsequent amendments; and |
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38 | 38 | | (2) the rules adopted by the executive commissioner |
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39 | 39 | | [Texas Department] of the Health and Human Services Commission to |
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40 | 40 | | implement those requirements, including rules on the cost of the |
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41 | 41 | | newborn screening test kit described by Section 33.019, Health and |
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42 | 42 | | Safety Code. |
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43 | 43 | | SECTION 3. Section 1367.003, Insurance Code, is amended to |
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44 | 44 | | read as follows: |
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45 | 45 | | Sec. 1367.003. CERTAIN LIMITATIONS ON COVERAGE FOR NEWBORN |
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46 | 46 | | CHILDREN PROHIBITED. A health benefit plan that provides maternity |
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47 | 47 | | benefits or accident and health coverage for additional newborn |
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48 | 48 | | children may not be issued in this state if the plan excludes or |
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49 | 49 | | limits: |
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50 | 50 | | (1) initial coverage of a newborn child for a period of |
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51 | 51 | | time; [or] |
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52 | 52 | | (2) coverage for congenital defects of a newborn |
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53 | 53 | | child; or |
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54 | 54 | | (3) coverage for administration of the newborn |
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55 | 55 | | screening tests required by Section 33.011, Health and Safety Code, |
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56 | 56 | | including for the cost of a newborn screening test kit in the amount |
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57 | 57 | | provided by the Department of State Health Services on its Internet |
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58 | 58 | | website under Section 33.019 of that code on the date the test was |
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59 | 59 | | administered. |
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60 | 60 | | SECTION 4. As soon as practicable after the effective date |
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61 | 61 | | of this Act, the executive commissioner of the Health and Human |
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62 | 62 | | Services Commission shall adopt rules necessary to implement this |
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63 | 63 | | Act. |
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64 | 64 | | SECTION 5. The change in law made by this Act applies only |
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65 | 65 | | to a health benefit plan delivered, issued for delivery, or renewed |
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66 | 66 | | on or after January 1, 2020. A health benefit plan delivered, issued |
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67 | 67 | | for delivery, or renewed before January 1, 2020, is governed by the |
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68 | 68 | | law as it existed immediately before the effective date of this Act, |
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69 | 69 | | and that law is continued in effect for that purpose. |
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70 | 70 | | SECTION 6. This Act takes effect September 1, 2019. |
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