Texas 2019 - 86th Regular

Texas House Bill HB3039 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	86R11313 JES-D
2	2	By: Turner of Tarrant H.B. No. 3039
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to coverage for bacterial meningitis vaccinations under
8	8	certain health benefit plans.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Subtitle E, Title 8, Insurance Code, is amended
11	11	by adding Chapter 1380 to read as follows:
12	12	CHAPTER 1380. COVERAGE FOR BACTERIAL MENINGITIS VACCINATION
13	13	Sec. 1380.0001. APPLICABILITY OF CHAPTER. (a) This
14	14	chapter applies only to a health benefit plan that provides
15	15	benefits for medical or surgical expenses incurred as a result of a
16	16	health condition, accident, or sickness, including an individual,
17	17	group, blanket, or franchise insurance policy or insurance
18	18	agreement, a group hospital service contract, or an individual or
19	19	group evidence of coverage or similar coverage document that is
20	20	offered by:
21	21	(1) an insurance company;
22	22	(2) a group hospital service corporation operating
23	23	under Chapter 842;
24	24	(3) a health maintenance organization operating under
25	25	Chapter 843;
26	26	(4) an approved nonprofit health corporation that
27	27	holds a certificate of authority under Chapter 844;
28	28	(5) a multiple employer welfare arrangement that holds
29	29	a certificate of authority under Chapter 846;
30	30	(6) a stipulated premium company operating under
31	31	Chapter 884;
32	32	(7) a fraternal benefit society operating under
33	33	Chapter 885;
34	34	(8) a Lloyd's plan operating under Chapter 941; or
35	35	(9) an exchange operating under Chapter 942.
36	36	(b) Notwithstanding any other law, this chapter applies to:
37	37	(1) a small employer health benefit plan subject to
38	38	Chapter 1501, including coverage provided through a health group
39	39	cooperative under Subchapter B of that chapter;
40	40	(2) a standard health benefit plan issued under
41	41	Chapter 1507;
42	42	(3) a basic coverage plan under Chapter 1551;
43	43	(4) a basic plan under Chapter 1575;
44	44	(5) a primary care coverage plan under Chapter 1579;
45	45	(6) a plan providing basic coverage under Chapter
46	46	1601;
47	47	(7) health benefits provided by or through a church
48	48	benefits board under Subchapter I, Chapter 22, Business
49	49	Organizations Code;
50	50	(8) group health coverage made available by a school
51	51	district in accordance with Section 22.004, Education Code;
52	52	(9) the state Medicaid program, including the Medicaid
53	53	managed care program operated under Chapter 533, Government Code;
54	54	(10) the child health plan program under Chapter 62,
55	55	Health and Safety Code;
56	56	(11) a regional or local health care program operated
57	57	under Section 75.104, Health and Safety Code;
58	58	(12) a self-funded health benefit plan sponsored by a
59	59	professional employer organization under Chapter 91, Labor Code;
60	60	(13) county employee group health benefits provided
61	61	under Chapter 157, Local Government Code; and
62	62	(14) health and accident coverage provided by a risk
63	63	pool created under Chapter 172, Local Government Code.
64	64	(c) This chapter applies to coverage under a group health
65	65	benefit plan provided to a resident of this state regardless of
66	66	whether the group policy, agreement, or contract is delivered,
67	67	issued for delivery, or renewed in this state.
68	68	(d) Notwithstanding any other law, this chapter applies to a
69	69	health benefit plan under which the coverage period is more than 90
70	70	days and less than 12 months in duration.
71	71	Sec. 1380.0002. EXCEPTIONS. (a) This chapter does not
72	72	apply to:
73	73	(1) a plan that provides coverage:
74	74	(A) for wages or payments in lieu of wages for a
75	75	period during which an employee is absent from work because of
76	76	sickness or injury;
77	77	(B) as a supplement to a liability insurance
78	78	policy;
79	79	(C) for credit insurance;
80	80	(D) only for dental or vision care;
81	81	(E) only for hospital expenses; or
82	82	(F) only for indemnity for hospital confinement;
83	83	(2) a workers' compensation insurance policy; or
84	84	(3) medical payment insurance coverage provided under
85	85	a motor vehicle insurance policy.
86	86	(b) This chapter does not apply to an individual health
87	87	benefit plan issued on or before March 23, 2010, that has not had
88	88	any significant changes since that date that reduce benefits or
89	89	increase costs to the individual.
90	90	Sec. 1380.0003. COVERAGE REQUIRED. (a) A health benefit
91	91	plan must include coverage for all bacterial meningitis
92	92	vaccinations recommended under generally accepted standards of
93	93	medical practice, including any booster doses of the vaccine.
94	94	(b) Coverage required by this section may not be less
95	95	favorable than coverage for immunizations under Subchapter B,
96	96	Chapter 1367.
97	97	SECTION 2. If before implementing any provision of this Act
98	98	a state agency determines that a waiver or authorization from a
99	99	federal agency is necessary for implementation of that provision,
100	100	the agency affected by the provision shall request the waiver or
101	101	authorization and may delay implementing that provision until the
102	102	waiver or authorization is granted.
103	103	SECTION 3. Chapter 1380, Insurance Code, as added by this
104	104	Act, applies only to a health benefit plan that is delivered, issued
105	105	for delivery, or renewed on or after January 1, 2020.
106	106	SECTION 4. This Act takes effect September 1, 2019.