86R13732 PMO-D
By: Sheffield H.B. No. 4393
A BILL TO BE ENTITLED
AN ACT
relating to health benefit coverage for chemical dependency.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Section 1368.004, Insurance Code, is amended by
adding Subsection (c) to read as follows:
(c) A group health benefit plan shall provide coverage for
an inpatient rehabilitation program for not less than 90 days to
provide the necessary care and treatment of chemical dependency.
SECTION 2. Section 1368.005(b), Insurance Code, is amended
to read as follows:
(b) A group health benefit plan may set dollar or, subject
to Section 1368.004(c), durational limits for coverage required
under this chapter that are less favorable than for coverage
provided for physical illness generally under the plan if those
limits are sufficient to provide appropriate care and treatment
under the guidelines and standards adopted under Section 1368.007.
If guidelines and standards adopted under Section 1368.007 are not
in effect, the dollar and durational limits may not be less
favorable than for physical illness generally.
SECTION 3. This Act applies only to a health benefit plan
that is delivered, issued for delivery, or renewed on or after
January 1, 2020.
SECTION 4. This Act takes effect September 1, 2019.