Texas 2023 - 88th Regular

Texas House Bill HB757 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New	Differences
1	1	88R449 JES-F
2	2	By: Johnson of Dallas H.B. No. 757
3	3
4	4
5	5	A BILL TO BE ENTITLED
6	6	AN ACT
7	7	relating to preauthorization of certain benefits by certain health
8	8	benefit plan issuers.
9	9	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
10	10	SECTION 1. Section 1356.005, Insurance Code, is amended by
11	11	adding Subsection (c) to read as follows:
12	12	(c) A health benefit plan issuer that provides coverage
13	13	under this section may not require preauthorization for a screening
14	14	mammogram or diagnostic imaging described by Subsection (a) or
15	15	(a-1). This subsection may not be construed to authorize a
16	16	physician or other health care provider to provide the medical care
17	17	or health care described by this section if providing the care is
18	18	outside of the scope of the individual's applicable license or
19	19	other authorization issued under Title 3, Occupations Code.
20	20	SECTION 2. Section 1357.004, Insurance Code, is amended by
21	21	adding Subsection (c) to read as follows:
22	22	(c) A health benefit plan issuer that provides coverage
23	23	under this section may not require preauthorization for a
24	24	reconstruction, surgery, prostheses, or treatment described by
25	25	Subsection (a). This subsection may not be construed to authorize a
26	26	physician or other health care provider to provide the medical care
27	27	or health care described by this section if providing the care is
28	28	outside of the scope of the individual's applicable license or
29	29	other authorization issued under Title 3, Occupations Code.
30	30	SECTION 3. Section 1357.054, Insurance Code, is amended by
31	31	adding Subsection (c) to read as follows:
32	32	(c) A health benefit plan issuer that provides coverage
33	33	under this section may not require preauthorization for inpatient
34	34	care described by Subsection (a). This subsection may not be
35	35	construed to authorize a physician or other health care provider to
36	36	provide the medical care or health care described by this section if
37	37	providing the care is outside of the scope of the individual's
38	38	applicable license or other authorization issued under Title 3,
39	39	Occupations Code.
40	40	SECTION 4. Section 1358.054, Insurance Code, is amended by
41	41	adding Subsection (c) to read as follows:
42	42	(c) A health benefit plan issuer that provides coverage
43	43	under this section may not require preauthorization for the
44	44	provision to a qualified enrollee of diabetes equipment, diabetes
45	45	supplies, or diabetes self-management training described by
46	46	Subsection (a). This subsection may not be construed to authorize a
47	47	physician or other health care provider to provide the medical care
48	48	or health care described by this section if providing the care is
49	49	outside of the scope of the individual's applicable license or
50	50	other authorization issued under Title 3, Occupations Code.
51	51	SECTION 5. Section 1361.003, Insurance Code, is amended to
52	52	read as follows:
53	53	Sec. 1361.003. COVERAGE REQUIRED. (a) A group health
54	54	benefit plan must provide to a qualified enrollee coverage for
55	55	medically accepted bone mass measurement to detect low bone mass
56	56	and to determine the enrollee's risk of osteoporosis and fractures
57	57	associated with osteoporosis.
58	58	(b) A group health benefit plan issuer that provides
59	59	coverage under this section may not require preauthorization for
60	60	the provision to a qualified enrollee of a bone mass measurement
61	61	described by Subsection (a). This subsection may not be construed
62	62	to authorize a physician or other health care provider to provide
63	63	the medical care or health care described by this section if
64	64	providing the care is outside of the scope of the individual's
65	65	applicable license or other authorization issued under Title 3,
66	66	Occupations Code.
67	67	SECTION 6. Section 1362.003, Insurance Code, is amended by
68	68	adding Subsection (c) to read as follows:
69	69	(c) A health benefit plan issuer that provides coverage
70	70	under this section to an enrolled male may not require
71	71	preauthorization for a diagnostic examination described by
72	72	Subsection (a). This subsection may not be construed to authorize a
73	73	physician or other health care provider to provide the medical care
74	74	or health care described by this section if providing the care is
75	75	outside of the scope of the individual's applicable license or
76	76	other authorization issued under Title 3, Occupations Code.
77	77	SECTION 7. Section 1363.003, Insurance Code, is amended by
78	78	adding Subsection (d) to read as follows:
79	79	(d) A health benefit plan issuer that provides coverage
80	80	under this section may not require preauthorization for a screening
81	81	examination described by Subsection (a). This subsection may not
82	82	be construed to authorize a physician or other health care provider
83	83	to provide the medical care or health care described by this section
84	84	if providing the care is outside of the scope of the individual's
85	85	applicable license or other authorization issued under Title 3,
86	86	Occupations Code.
87	87	SECTION 8. This Act applies only to a health benefit plan
88	88	that is delivered, issued for delivery, or renewed on or after
89	89	January 1, 2024.
90	90	SECTION 9. This Act takes effect September 1, 2023.