86R23402 SMT-F
By: Vo H.B. No. 3911
A BILL TO BE ENTITLED
AN ACT
relating to the examination by the commissioner of insurance of
certain insurers' network quality and adequacy.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Sections 1301.0056(a) and (d), Insurance Code,
are amended to read as follows:
(a) The commissioner shall [may] examine an insurer to
determine the quality and adequacy of a network used by a preferred
provider benefit plan or an exclusive provider benefit plan offered
by the insurer under this chapter. An insurer is subject to a
qualifying examination of the insurer's preferred provider benefit
plans and exclusive provider benefit plans and subsequent quality
of care and network adequacy examinations by the commissioner at
least once every three [five] years and whenever the commissioner
considers an examination necessary. Documentation provided to the
commissioner during an examination conducted under this section is
confidential and is not subject to disclosure as public information
under Chapter 552, Government Code.
(d) The department shall deposit an assessment collected
under this section to the credit of the account described by Section
401.156(a) [Texas Department of Insurance operating account].
Money deposited under this subsection shall be used to pay the
salaries and expenses of examiners and all other expenses relating
to the examination of insurers under this section.
SECTION 2. This Act takes effect September 1, 2019.