Texas 2021 - 87th 3rd C.S.

Texas House Bill HB39 Compare Versions

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11 By: Noble H.B. No. 39
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44 A BILL TO BE ENTITLED
55 AN ACT
66 relating to prohibited vaccination status discrimination and
77 requirements for COVID-19 vaccines.
88 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
99 ARTICLE 1. COVID-19 VACCINATION STATUS DISCRIMINATION PROHIBITED
1010 SECTION 1.01. Chapter 544, Insurance Code, is amended by
1111 adding Subchapter N to read as follows:
1212 SUBCHAPTER N. COVID-19 VACCINATION STATUS
1313 Sec. 544.651. DEFINITIONS. In this subchapter:
1414 (1) "COVID-19" means the 2019 novel coronavirus
1515 disease.
1616 (2) "Health benefit plan issuer" means an issuer,
1717 administrator, or sponsor of a health benefit plan described by
1818 Section 544.652.
1919 Sec. 544.652. APPLICABILITY OF SUBCHAPTER. (a) This
2020 subchapter applies only to a health benefit plan that provides
2121 benefits for medical or surgical expenses incurred as a result of a
2222 health condition, accident, or sickness, including a group,
2323 blanket, or franchise insurance policy or insurance agreement, a
2424 group hospital service contract, or a group evidence of coverage or
2525 similar coverage document that is offered by:
2626 (1) an insurance company;
2727 (2) a group hospital service corporation operating
2828 under Chapter 842;
2929 (3) a health maintenance organization operating under
3030 Chapter 843;
3131 (4) an approved nonprofit health corporation that
3232 holds a certificate of authority under Chapter 844;
3333 (5) a multiple employer welfare arrangement that holds
3434 a certificate of authority under Chapter 846;
3535 (6) a stipulated premium company operating under
3636 Chapter 884;
3737 (7) a fraternal benefit society operating under
3838 Chapter 885;
3939 (8) a Lloyd's plan operating under Chapter 941; or
4040 (9) an exchange operating under Chapter 942.
4141 (b) Notwithstanding any other law, this subchapter applies
4242 to:
4343 (1) a small employer health benefit plan subject to
4444 Chapter 1501, including coverage provided through a health group
4545 cooperative under Subchapter B of that chapter;
4646 (2) a standard health benefit plan issued under
4747 Chapter 1507;
4848 (3) a basic coverage plan under Chapter 1551;
4949 (4) a basic plan under Chapter 1575;
5050 (5) a primary care coverage plan under Chapter 1579;
5151 (6) a plan providing basic coverage under Chapter
5252 1601;
5353 (7) health benefits provided by or through a church
5454 benefits board under Subchapter I, Chapter 22, Business
5555 Organizations Code;
5656 (8) the state Medicaid program, including the Medicaid
5757 managed care program operated under Chapter 533, Government Code;
5858 (9) the child health plan program under Chapter 62,
5959 Health and Safety Code;
6060 (10) a regional or local health care program operated
6161 under Section 75.104, Health and Safety Code;
6262 (11) a self-funded health benefit plan sponsored by a
6363 professional employer organization under Chapter 91, Labor Code;
6464 (12) county employee group health benefits provided
6565 under Chapter 157, Local Government Code; and
6666 (13) health and accident coverage provided by a risk
6767 pool created under Chapter 172, Local Government Code.
6868 (c) This subchapter applies to a life insurance company
6969 that:
7070 (1) issues or delivers a life insurance policy in this
7171 state; or
7272 (2) is organized under the laws of this state.
7373 Sec. 544.653. PROHIBITED DISCRIMINATION AGAINST
7474 INDIVIDUAL. A group health benefit plan issuer or a life insurance
7575 company may not use an individual's COVID-19 vaccination status to:
7676 (1) reject, deny, limit, cancel, refuse to renew, or
7777 increase the premiums for coverage of the individual under a plan
7878 offered by the issuer or company;
7979 (2) limit the amount, extent, or kind of coverage
8080 available to the individual; or
8181 (3) otherwise adversely affect the individual's
8282 eligibility for coverage.
8383 Sec. 544.654. EFFECT ON OTHER LAW. This subchapter
8484 prevails to the extent of a conflict between this subchapter and any
8585 other law.
8686 SECTION 1.02. Chapter 21, Labor Code, is amended by adding
8787 Subchapter H-1 to read as follows:
8888 SUBCHAPTER H-1. DISCRIMINATION BASED ON COVID-19 VACCINATION
8989 STATUS
9090 Sec. 21.421. DEFINITION. In this subchapter, "COVID-19"
9191 means the 2019 novel coronavirus disease.
9292 Sec. 21.422. PROHIBITED DISCRIMINATION BASED ON COVID-19
9393 VACCINATION STATUS. (a) An employer commits an unlawful
9494 employment practice if the employer fails or refuses to hire,
9595 discharges, or otherwise discriminates against an individual with
9696 respect to the compensation or the terms, conditions, or privileges
9797 of employment because the individual has not received a COVID-19
9898 vaccine.
9999 (b) A labor organization commits an unlawful employment
100100 practice if the labor organization excludes or expels from
101101 membership or otherwise discriminates against an individual
102102 because the individual has not received a COVID-19 vaccine.
103103 (c) An employment agency commits an unlawful employment
104104 practice if the employment agency classifies or refers for
105105 employment, fails or refuses to refer for employment, or otherwise
106106 discriminates against an individual because the individual has not
107107 received a COVID-19 vaccine.
108108 Sec. 21.423. LIMITATION OF LIABILITY. An employer, labor
109109 organization, or employment agency is not liable for a claim
110110 arising from exposure to COVID-19 on the basis that the employer,
111111 labor organization, or employment agency failed to require an
112112 individual to receive a COVID-19 vaccine.
113113 Sec. 21.424. EFFECT ON OTHER LAW. This subchapter prevails
114114 to the extent of a conflict between this subchapter and any other
115115 law.
116116 ARTICLE 2. PROHIBITED COVID-19 VACCINATION REQUIREMENTS
117117 SECTION 2.01. Section 38.001(b), Education Code, as amended
118118 by Chapters 43 (H.B. 1098) and 94 (H.B. 1059), Acts of the 80th
119119 Legislature, Regular Session, 2007, is reenacted and amended to
120120 read as follows:
121121 (b) Subject to Subsections (b-1), (b-2), and (c), the
122122 executive commissioner of the Health and Human Services Commission
123123 may modify or delete any of the immunizations in Subsection (a) or
124124 may require immunizations against additional diseases as a
125125 requirement for admission to any elementary or secondary school.
126126 SECTION 2.02. Section 38.001, Education Code, is amended by
127127 adding Subsection (b-2) to read as follows:
128128 (b-2) A student may not be required, as a condition of the
129129 student's admission to or continued enrollment in any elementary or
130130 secondary school, to receive a vaccine for the 2019 novel
131131 coronavirus disease (COVID-19). An elementary or secondary school
132132 is not liable for a claim arising from exposure to COVID-19 on the
133133 basis that the school failed to require a student to receive a
134134 COVID-19 vaccine.
135135 SECTION 2.03. Subchapter Z, Chapter 51, Education Code, is
136136 amended by adding Section 51.91921 to read as follows:
137137 Sec. 51.91921. COVID-19 VACCINATION REQUIREMENT FOR
138138 PRIVATE OR INDEPENDENT INSTITUTION OF HIGHER EDUCATION STUDENTS
139139 PROHIBITED. (a) In this section:
140140 (1) "COVID-19" means the 2019 novel coronavirus
141141 disease.
142142 (2) "Private or independent institution of higher
143143 education" has the meaning assigned by Section 61.003.
144144 (b) A student may not be required, as a condition of the
145145 student's admission to or continued enrollment in a private or
146146 independent institution of higher education, to receive a COVID-19
147147 vaccine.
148148 (c) A private or independent institution of higher
149149 education is not liable for a claim arising from exposure to
150150 COVID-19 on the basis that the institution failed to require a
151151 student to receive a COVID-19 vaccine.
152152 SECTION 2.04. Section 51.933, Education Code, is amended by
153153 amending Subsection (b) and adding Subsection (b-2) to read as
154154 follows:
155155 (b) Except as provided by Subsection (b-2), the [The]
156156 executive commissioner of the Health and Human Services Commission
157157 may require immunizations against the diseases listed in Subsection
158158 (a) and additional diseases for students at any institution of
159159 higher education who are pursuing a course of study in a human or
160160 animal health profession, and the executive commissioner may
161161 require those immunizations for any students in times of an
162162 emergency or epidemic in a county where the commissioner of state
163163 health services has declared such an emergency or epidemic.
164164 (b-2) A student may not be required, as a condition of the
165165 student's admission to or continued enrollment in an institution of
166166 higher education, to receive a vaccine for the 2019 novel
167167 coronavirus disease (COVID-19). An institution of higher education
168168 is not liable for a claim arising from exposure to COVID-19 on the
169169 basis that the institution failed to require a student to receive a
170170 COVID-19 vaccine.
171171 SECTION 2.05. Section 81.023, Health and Safety Code, is
172172 amended by adding Subsection (d) to read as follows:
173173 (d) The department, in developing immunization requirements
174174 under Subsection (c), may not require a child to receive a vaccine
175175 for the 2019 novel coronavirus disease (COVID-19).
176176 SECTION 2.06. Section 224.002, Health and Safety Code, is
177177 amended by adding Subsection (b-1) to read as follows:
178178 (b-1) The policy may not require a covered individual to
179179 receive a vaccine for the 2019 novel coronavirus disease
180180 (COVID-19).
181181 ARTICLE 3. TRANSITION AND EFFECTIVE DATE
182182 SECTION 3.01. Each facility subject to Chapter 224, Health
183183 and Safety Code, as amended by this Act, shall modify the facility's
184184 vaccine-preventable disease policy to conform with the changes in
185185 law made by this Act not later than January 1, 2022.
186186 SECTION 3.02. Subchapter N, Chapter 544, Insurance Code, as
187187 added by this Act, applies only to a health benefit plan or
188188 insurance policy delivered, issued for delivery, or renewed on or
189189 after January 1, 2022.
190190 SECTION 3.03. Subchapter H-1, Chapter 21, Labor Code, as
191191 added by this Act, applies only to an unlawful employment practice
192192 that occurs on or after the effective date of this Act.
193193 SECTION 3.04. (a) The changes in law made by this Act to
194194 Title 2, Education Code, apply beginning with the 2021-2022 school
195195 year.
196196 (b) The changes in law made by this Act to Title 3, Education
197197 Code, apply beginning with the 2021-2022 academic year.
198198 SECTION 3.05. This Act takes effect immediately if it
199199 receives a vote of two-thirds of all the members elected to each
200200 house, as provided by Section 39, Article III, Texas Constitution.
201201 If this Act does not receive the vote necessary for immediate
202202 effect, this Act takes effect on the 91st day after the last day of
203203 the legislative session.