Texas 2019 - 86th Regular

Texas Senate Bill SB1896 Compare Versions

Only one version of the bill is available at this time.
OldNewDifferences
11 86R12252 SCL-F
22 By: Zaffirini S.B. No. 1896
33
44
55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to alternate health benefit plan contact information for
88 victims of family violence.
99 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1010 SECTION 1. Subtitle A, Title 8, Insurance Code, is amended
1111 by adding Chapter 1222 to read as follows:
1212 CHAPTER 1222. ALTERNATE CONTACT INFORMATION FOR VICTIMS OF FAMILY
1313 VIOLENCE
1414 Sec. 1222.0001. DEFINITIONS. In this chapter:
1515 (1) "Family violence" has the meaning assigned by
1616 Section 71.004, Family Code.
1717 (2) "Health benefit plan" means a plan to which this
1818 chapter applies under Section 1222.0002.
1919 (3) "Health benefit plan issuer" means an entity
2020 authorized under this code or another insurance law of this state
2121 that provides health insurance or health benefits in this state.
2222 (4) "Protective order" has the meaning assigned by
2323 Section 88.002, Family Code.
2424 Sec. 1222.0002. APPLICABILITY OF CHAPTER. (a) This
2525 chapter applies only to a health benefit plan that provides
2626 benefits for medical or surgical expenses incurred as a result of a
2727 health condition, accident, or sickness, including an individual,
2828 group, blanket, or franchise insurance policy or insurance
2929 agreement, a group hospital service contract, or an individual or
3030 group evidence of coverage or similar coverage document that is
3131 issued by:
3232 (1) an insurance company;
3333 (2) a group hospital service corporation operating
3434 under Chapter 842;
3535 (3) a health maintenance organization operating under
3636 Chapter 843;
3737 (4) an approved nonprofit health corporation that
3838 holds a certificate of authority under Chapter 844;
3939 (5) a multiple employer welfare arrangement that holds
4040 a certificate of authority under Chapter 846;
4141 (6) a stipulated premium company operating under
4242 Chapter 884;
4343 (7) a fraternal benefit society operating under
4444 Chapter 885;
4545 (8) a Lloyd's plan operating under Chapter 941; or
4646 (9) an exchange operating under Chapter 942.
4747 (b) Notwithstanding any other law, this chapter applies to:
4848 (1) a small employer health benefit plan subject to
4949 Chapter 1501, including coverage provided through a health group
5050 cooperative under Subchapter B of that chapter;
5151 (2) a standard health benefit plan issued under
5252 Chapter 1507;
5353 (3) a basic coverage plan under Chapter 1551;
5454 (4) a basic plan under Chapter 1575;
5555 (5) a primary care coverage plan under Chapter 1579;
5656 (6) a plan providing basic coverage under Chapter
5757 1601;
5858 (7) health benefits provided by or through a church
5959 benefits board under Subchapter I, Chapter 22, Business
6060 Organizations Code;
6161 (8) group health coverage made available by a school
6262 district in accordance with Section 22.004, Education Code;
6363 (9) the state Medicaid program, including the Medicaid
6464 managed care program operated under Chapter 533, Government Code;
6565 (10) the child health plan program under Chapter 62,
6666 Health and Safety Code;
6767 (11) a regional or local health care program operated
6868 under Section 75.104, Health and Safety Code;
6969 (12) a self-funded health benefit plan sponsored by a
7070 professional employer organization under Chapter 91, Labor Code;
7171 (13) county employee group health benefits provided
7272 under Chapter 157, Local Government Code; and
7373 (14) health and accident coverage provided by a risk
7474 pool created under Chapter 172, Local Government Code.
7575 Sec. 1222.0003. APPLICATION FOR ALTERNATE CONTACT
7676 INFORMATION. (a) An individual who is a victim of family violence
7777 and who is a covered dependent in a health benefit plan may apply to
7878 the health benefit plan issuer to designate an alternate mailing
7979 address, telephone number, or other contact information necessary
8080 for billing or claims purposes for the individual and each other
8181 covered dependent named in the application.
8282 (b) An application described by Subsection (a) must
8383 include:
8484 (1) a valid protective order issued in this state
8585 against the policyholder or certificate holder of the individual's
8686 health benefit plan; or
8787 (2) a signed affidavit stating that:
8888 (A) the individual is a victim of family
8989 violence; and
9090 (B) the disclosure of the alternate contact
9191 information provided in the application would endanger the
9292 individual.
9393 (c) A health benefit plan issuer who receives a completed
9494 application under Subsection (a) shall grant the application and
9595 authorize the individual to have alternate contact information for
9696 the individual and each dependent named in the application.
9797 Sec. 1222.0004. DISCLOSURE OF ALTERNATE CONTACT
9898 INFORMATION. A health benefit plan issuer may not disclose the
9999 alternate contact information provided in an application described
100100 by Section 1222.0003 to the policyholder or certificate holder of
101101 the individual's health benefit plan unless the individual consents
102102 to the disclosure in writing. The issuer shall ensure that any
103103 health care provider providing services under the plan does not
104104 disclose the information in accordance with this section.
105105 Sec. 1222.0005. RULES. The commissioner, in consultation
106106 with the Health and Human Services Commission and the Department of
107107 Family and Protective Services, shall adopt rules to guide and
108108 enable health benefit plan issuers to protect the alternate contact
109109 information provided to issuers under this chapter.
110110 SECTION 2. This Act takes effect immediately if it receives
111111 a vote of two-thirds of all the members elected to each house, as
112112 provided by Section 39, Article III, Texas Constitution. If this
113113 Act does not receive the vote necessary for immediate effect, this
114114 Act takes effect September 1, 2019.