| 1 | 1 | | 86R4166 SMT-F |
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| 2 | 2 | | By: Campbell, Buckingham S.B. No. 2252 |
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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 the examination by the commissioner of insurance of |
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| 8 | 8 | | certain insurers' network quality and adequacy. |
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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. Sections 1301.0056(a) and (d), Insurance Code, |
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| 11 | 11 | | are amended to read as follows: |
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| 12 | 12 | | (a) The commissioner shall [may] examine an insurer to |
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| 13 | 13 | | determine the quality and adequacy of a network used by a preferred |
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| 14 | 14 | | provider benefit plan or an exclusive provider benefit plan offered |
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| 15 | 15 | | by the insurer under this chapter. An insurer is subject to a |
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| 16 | 16 | | qualifying examination of the insurer's preferred provider benefit |
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| 17 | 17 | | plans and exclusive provider benefit plans and subsequent quality |
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| 18 | 18 | | of care and network adequacy examinations by the commissioner at |
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| 19 | 19 | | the commissioner's discretion and at least once every two [five] |
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| 20 | 20 | | years. Documentation provided to the commissioner during an |
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| 21 | 21 | | examination conducted under this section is confidential and is not |
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| 22 | 22 | | subject to disclosure as public information under Chapter 552, |
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| 23 | 23 | | Government Code. |
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| 24 | 24 | | (d) The department shall deposit an assessment collected |
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| 25 | 25 | | under this section to the credit of the account described by Section |
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| 26 | 26 | | 401.156(a) [Texas Department of Insurance operating account]. |
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| 27 | 27 | | Money deposited under this subsection shall be used to pay the |
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| 28 | 28 | | salaries and expenses of examiners and all other expenses relating |
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| 29 | 29 | | to the examination of insurers under this section. |
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| 30 | 30 | | SECTION 2. This Act takes effect September 1, 2019. |
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