Texas House Bill HB3985

Texas 2019 - 86th Regular

Caption

Relating to the provision of certain historical claims data and other information to school districts and other participating entities in the Texas school employees uniform group health coverage program.

Impact

If enacted, HB3985 will significantly impact state laws regarding how health insurance information is shared among school districts and other participating employers. The bill ensures that claims data is available at no cost to these entities, allowing them to compare health benefits more effectively and potentially seek better coverage options. This proactive approach could lead to improved health benefits for educators and other school staff while also ensuring they are more informed about their choices in health insurance providers.

Summary

House Bill 3985 aims to enhance transparency and accessibility of historical claims data for school districts and other entities participating in the Texas school employees uniform group health coverage program. The bill mandates that trustees provide detailed claims data, including enrollment information and claims history related to medical events costing above $50,000. This data is intended to assist these entities in exploring alternative health benefit plans for their employees and dependents, thereby promoting informed decision-making in health coverage options.

Contention

Potential points of contention regarding HB3985 may arise from concerns over privacy and the accuracy of data shared. While the bill is designed to prevent personally identifying information from being disclosed, there could be debates about the adequacy of these protections, especially concerning sensitive medical information. Furthermore, stakeholders may discuss the implications of increasing transparency on the negotiations between health providers and the participating entities, as well as the possibility of impacted premiums and coverage options due to more accessible claims data.