88R13085 MEW-D
By: King of Hemphill H.B. No. 3800
A BILL TO BE ENTITLED
AN ACT
relating to the participation of campus-based mental health
professionals in certain managed care plans.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Chapter 1451, Insurance Code, is amended by
adding Subchapter L to read as follows:
SUBCHAPTER L. ACCESS TO CAMPUS-BASED MENTAL HEALTH PROFESSIONALS
Sec. 1451.551. DEFINITIONS. In this subchapter:
(1) "Campus-based mental health professional" means a
licensed clinical social worker, professional counselor,
psychological associate, or psychologist who provides mental
health care services primarily or exclusively at a campus of a
school district or an open-enrollment charter school.
(2) "Managed care plan" means a health benefit plan
under which health care services are provided to enrollees through
contracts with health care providers and that requires enrollees to
use participating providers or that provides a different level of
coverage for enrollees who use participating providers. The term
includes a health benefit plan issued by:
(A) a health maintenance organization;
(B) a preferred provider benefit plan issuer; or
(C) any other entity that issues a health benefit
plan, including an insurance company.
(3) "Open-enrollment charter school" means a school
that has been granted a charter under Subchapter D, Chapter 12,
Education Code.
(4) "Participating provider" means a health care
provider who has contracted with a health benefit plan issuer to
provide services to enrollees.
(5) "School district" means a public school district
created under the laws of this state.
Sec. 1451.552. USE OF CAMPUS-BASED MENTAL HEALTH
PROFESSIONAL. A managed care plan may not deny participation of a
campus-based mental health professional as a participating
provider in the plan if the mental health professional meets the
plan's credentialing requirements and agrees to the plan's
contractual terms.
SECTION 2. This Act takes effect September 1, 2023.