1 | 1 | | 86R12252 SCL-F |
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2 | 2 | | By: Zaffirini S.B. No. 1896 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | A BILL TO BE ENTITLED |
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6 | 6 | | AN ACT |
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7 | 7 | | relating to alternate health benefit plan contact information for |
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8 | 8 | | victims of family violence. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Subtitle A, Title 8, Insurance Code, is amended |
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11 | 11 | | by adding Chapter 1222 to read as follows: |
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12 | 12 | | CHAPTER 1222. ALTERNATE CONTACT INFORMATION FOR VICTIMS OF FAMILY |
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13 | 13 | | VIOLENCE |
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14 | 14 | | Sec. 1222.0001. DEFINITIONS. In this chapter: |
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15 | 15 | | (1) "Family violence" has the meaning assigned by |
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16 | 16 | | Section 71.004, Family Code. |
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17 | 17 | | (2) "Health benefit plan" means a plan to which this |
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18 | 18 | | chapter applies under Section 1222.0002. |
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19 | 19 | | (3) "Health benefit plan issuer" means an entity |
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20 | 20 | | authorized under this code or another insurance law of this state |
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21 | 21 | | that provides health insurance or health benefits in this state. |
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22 | 22 | | (4) "Protective order" has the meaning assigned by |
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23 | 23 | | Section 88.002, Family Code. |
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24 | 24 | | Sec. 1222.0002. APPLICABILITY OF CHAPTER. (a) This |
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25 | 25 | | chapter applies only to a health benefit plan that provides |
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26 | 26 | | benefits for medical or surgical expenses incurred as a result of a |
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27 | 27 | | health condition, accident, or sickness, including an individual, |
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28 | 28 | | group, blanket, or franchise insurance policy or insurance |
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29 | 29 | | agreement, a group hospital service contract, or an individual or |
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30 | 30 | | group evidence of coverage or similar coverage document that is |
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31 | 31 | | issued by: |
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32 | 32 | | (1) an insurance company; |
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33 | 33 | | (2) a group hospital service corporation operating |
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34 | 34 | | under Chapter 842; |
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35 | 35 | | (3) a health maintenance organization operating under |
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36 | 36 | | Chapter 843; |
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37 | 37 | | (4) an approved nonprofit health corporation that |
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38 | 38 | | holds a certificate of authority under Chapter 844; |
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39 | 39 | | (5) a multiple employer welfare arrangement that holds |
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40 | 40 | | a certificate of authority under Chapter 846; |
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41 | 41 | | (6) a stipulated premium company operating under |
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42 | 42 | | Chapter 884; |
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43 | 43 | | (7) a fraternal benefit society operating under |
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44 | 44 | | Chapter 885; |
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45 | 45 | | (8) a Lloyd's plan operating under Chapter 941; or |
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46 | 46 | | (9) an exchange operating under Chapter 942. |
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47 | 47 | | (b) Notwithstanding any other law, this chapter applies to: |
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48 | 48 | | (1) a small employer health benefit plan subject to |
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49 | 49 | | Chapter 1501, including coverage provided through a health group |
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50 | 50 | | cooperative under Subchapter B of that chapter; |
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51 | 51 | | (2) a standard health benefit plan issued under |
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52 | 52 | | Chapter 1507; |
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53 | 53 | | (3) a basic coverage plan under Chapter 1551; |
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54 | 54 | | (4) a basic plan under Chapter 1575; |
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55 | 55 | | (5) a primary care coverage plan under Chapter 1579; |
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56 | 56 | | (6) a plan providing basic coverage under Chapter |
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57 | 57 | | 1601; |
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58 | 58 | | (7) health benefits provided by or through a church |
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59 | 59 | | benefits board under Subchapter I, Chapter 22, Business |
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60 | 60 | | Organizations Code; |
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61 | 61 | | (8) group health coverage made available by a school |
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62 | 62 | | district in accordance with Section 22.004, Education Code; |
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63 | 63 | | (9) the state Medicaid program, including the Medicaid |
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64 | 64 | | managed care program operated under Chapter 533, Government Code; |
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65 | 65 | | (10) the child health plan program under Chapter 62, |
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66 | 66 | | Health and Safety Code; |
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67 | 67 | | (11) a regional or local health care program operated |
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68 | 68 | | under Section 75.104, Health and Safety Code; |
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69 | 69 | | (12) a self-funded health benefit plan sponsored by a |
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70 | 70 | | professional employer organization under Chapter 91, Labor Code; |
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71 | 71 | | (13) county employee group health benefits provided |
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72 | 72 | | under Chapter 157, Local Government Code; and |
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73 | 73 | | (14) health and accident coverage provided by a risk |
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74 | 74 | | pool created under Chapter 172, Local Government Code. |
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75 | 75 | | Sec. 1222.0003. APPLICATION FOR ALTERNATE CONTACT |
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76 | 76 | | INFORMATION. (a) An individual who is a victim of family violence |
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77 | 77 | | and who is a covered dependent in a health benefit plan may apply to |
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78 | 78 | | the health benefit plan issuer to designate an alternate mailing |
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79 | 79 | | address, telephone number, or other contact information necessary |
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80 | 80 | | for billing or claims purposes for the individual and each other |
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81 | 81 | | covered dependent named in the application. |
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82 | 82 | | (b) An application described by Subsection (a) must |
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83 | 83 | | include: |
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84 | 84 | | (1) a valid protective order issued in this state |
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85 | 85 | | against the policyholder or certificate holder of the individual's |
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86 | 86 | | health benefit plan; or |
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87 | 87 | | (2) a signed affidavit stating that: |
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88 | 88 | | (A) the individual is a victim of family |
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89 | 89 | | violence; and |
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90 | 90 | | (B) the disclosure of the alternate contact |
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91 | 91 | | information provided in the application would endanger the |
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92 | 92 | | individual. |
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93 | 93 | | (c) A health benefit plan issuer who receives a completed |
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94 | 94 | | application under Subsection (a) shall grant the application and |
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95 | 95 | | authorize the individual to have alternate contact information for |
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96 | 96 | | the individual and each dependent named in the application. |
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97 | 97 | | Sec. 1222.0004. DISCLOSURE OF ALTERNATE CONTACT |
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98 | 98 | | INFORMATION. A health benefit plan issuer may not disclose the |
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99 | 99 | | alternate contact information provided in an application described |
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100 | 100 | | by Section 1222.0003 to the policyholder or certificate holder of |
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101 | 101 | | the individual's health benefit plan unless the individual consents |
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102 | 102 | | to the disclosure in writing. The issuer shall ensure that any |
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103 | 103 | | health care provider providing services under the plan does not |
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104 | 104 | | disclose the information in accordance with this section. |
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105 | 105 | | Sec. 1222.0005. RULES. The commissioner, in consultation |
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106 | 106 | | with the Health and Human Services Commission and the Department of |
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107 | 107 | | Family and Protective Services, shall adopt rules to guide and |
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108 | 108 | | enable health benefit plan issuers to protect the alternate contact |
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109 | 109 | | information provided to issuers under this chapter. |
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110 | 110 | | SECTION 2. This Act takes effect immediately if it receives |
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111 | 111 | | a vote of two-thirds of all the members elected to each house, as |
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112 | 112 | | provided by Section 39, Article III, Texas Constitution. If this |
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113 | 113 | | Act does not receive the vote necessary for immediate effect, this |
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114 | 114 | | Act takes effect September 1, 2019. |
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