| 1 | | - | H.B. No. 3911 |
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| 1 | + | By: Vo (Senate Sponsor - Campbell) H.B. No. 3911 |
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| 2 | + | (In the Senate - Received from the House May 2, 2019; |
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| 3 | + | May 3, 2019, read first time and referred to Committee on Business & |
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| 4 | + | Commerce; May 19, 2019, reported favorably by the following vote: |
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| 5 | + | Yeas 7, Nays 0; May 19, 2019, sent to printer.) |
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| 6 | + | Click here to see the committee vote |
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| 4 | 10 | | AN ACT |
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| 5 | 11 | | relating to the examination by the commissioner of insurance of |
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| 6 | 12 | | certain insurers' network quality and adequacy. |
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| 7 | 13 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 8 | 14 | | SECTION 1. Sections 1301.0056(a) and (d), Insurance Code, |
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| 9 | 15 | | are amended to read as follows: |
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| 10 | 16 | | (a) The commissioner shall [may] examine an insurer to |
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| 11 | 17 | | determine the quality and adequacy of a network used by a preferred |
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| 12 | 18 | | provider benefit plan or an exclusive provider benefit plan offered |
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| 13 | 19 | | by the insurer under this chapter. An insurer is subject to a |
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| 14 | 20 | | qualifying examination of the insurer's preferred provider benefit |
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| 15 | 21 | | plans and exclusive provider benefit plans and subsequent quality |
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| 16 | 22 | | of care and network adequacy examinations by the commissioner at |
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| 17 | 23 | | least once every three [five] years and whenever the commissioner |
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| 18 | 24 | | considers an examination necessary. Documentation provided to the |
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| 19 | 25 | | commissioner during an examination conducted under this section is |
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| 20 | 26 | | confidential and is not subject to disclosure as public information |
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| 21 | 27 | | under Chapter 552, Government Code. |
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| 22 | 28 | | (d) The department shall deposit an assessment collected |
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| 23 | 29 | | under this section to the credit of the account described by Section |
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| 24 | 30 | | 401.156(a) [Texas Department of Insurance operating account]. |
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| 25 | 31 | | Money deposited under this subsection shall be used to pay the |
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| 26 | 32 | | salaries and expenses of examiners and all other expenses relating |
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| 27 | 33 | | to the examination of insurers under this section. |
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| 28 | 34 | | SECTION 2. This Act takes effect September 1, 2019. |
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| 29 | | - | ______________________________ ______________________________ |
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| 30 | | - | President of the Senate Speaker of the House |
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| 31 | | - | I certify that H.B. No. 3911 was passed by the House on May 2, |
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| 32 | | - | 2019, by the following vote: Yeas 119, Nays 16, 1 present, not |
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| 33 | | - | voting. |
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| 34 | | - | ______________________________ |
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| 35 | | - | Chief Clerk of the House |
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| 36 | | - | I certify that H.B. No. 3911 was passed by the Senate on May |
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| 37 | | - | 22, 2019, by the following vote: Yeas 30, Nays 1. |
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| 38 | | - | ______________________________ |
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| 39 | | - | Secretary of the Senate |
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| 40 | | - | APPROVED: _____________________ |
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| 41 | | - | Date |
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| 42 | | - | _____________________ |
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| 43 | | - | Governor |
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| 35 | + | * * * * * |
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