Texas 2023 - 88th Regular

Texas House Bill HB916 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New	Differences
1	1	H.B. No. 916
2	2
3	3
4	4	AN ACT
5	5	relating to health benefit plan coverage of prescription
6	6	contraceptive drugs.
7	7	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
8	8	SECTION 1. Section 1369.102, Insurance Code, is amended to
9	9	read as follows:
10	10	Sec. 1369.102. APPLICABILITY OF SUBCHAPTER. Except as
11	11	otherwise provided by this subchapter, this [This] subchapter
12	12	applies only to a health benefit plan, including a small employer
13	13	health benefit plan written under Chapter 1501, that provides
14	14	benefits for medical or surgical expenses incurred as a result of a
15	15	health condition, accident, or sickness, including an individual,
16	16	group, blanket, or franchise insurance policy or insurance
17	17	agreement, a group hospital service contract, or an individual or
18	18	group evidence of coverage or similar coverage document that is
19	19	offered by:
20	20	(1) an insurance company;
21	21	(2) a group hospital service corporation operating
22	22	under Chapter 842;
23	23	(3) a fraternal benefit society operating under
24	24	Chapter 885;
25	25	(4) a stipulated premium company operating under
26	26	Chapter 884;
27	27	(5) a reciprocal exchange operating under Chapter 942;
28	28	(6) a health maintenance organization operating under
29	29	Chapter 843;
30	30	(7) a multiple employer welfare arrangement that holds
31	31	a certificate of authority under Chapter 846; or
32	32	(8) an approved nonprofit health corporation that
33	33	holds a certificate of authority under Chapter 844.
34	34	SECTION 2. Subchapter C, Chapter 1369, Insurance Code, is
35	35	amended by adding Section 1369.1031 to read as follows:
36	36	Sec. 1369.1031. CERTAIN COVERAGE REQUIRED. (a) This
37	37	section applies to a health benefit plan described by Section
38	38	1369.102.
39	39	(b) Notwithstanding any other law, this section applies to:
40	40	(1) a standard health benefit plan issued under
41	41	Chapter 1507;
42	42	(2) a basic coverage plan under Chapter 1551;
43	43	(3) a basic plan under Chapter 1575;
44	44	(4) a primary care coverage plan under Chapter 1579;
45	45	(5) a plan providing basic coverage under Chapter
46	46	1601;
47	47	(6) group health coverage made available by a school
48	48	district in accordance with Section 22.004, Education Code; and
49	49	(7) the state Medicaid program, including the Medicaid
50	50	managed care program operated under Chapter 533, Government Code.
51	51	(c) A health benefit plan that provides benefits for a
52	52	prescription contraceptive drug must provide for an enrollee to
53	53	obtain up to:
54	54	(1) a three-month supply of the covered prescription
55	55	contraceptive drug at one time the first time the enrollee obtains
56	56	the drug; and
57	57	(2) a 12-month supply of the covered prescription
58	58	contraceptive drug at one time each subsequent time the enrollee
59	59	obtains the same drug, regardless of whether the enrollee was
60	60	enrolled in the health benefit plan the first time the enrollee
61	61	obtained the drug.
62	62	(d) An enrollee may obtain only one 12-month supply of a
63	63	covered prescription contraceptive drug during each 12-month
64	64	period.
65	65	SECTION 3. The change in law made by this Act applies only
66	66	to a health benefit plan that is delivered, issued for delivery, or
67	67	renewed on or after January 1, 2024. A health benefit plan that is
68	68	delivered, issued for delivery, or renewed before January 1, 2024,
69	69	is governed by the law as it existed immediately before the
70	70	effective date of this Act, and that law is continued in effect for
71	71	that purpose.
72	72	SECTION 4. This Act takes effect September 1, 2023.
73	73	______________________________ ______________________________
74	74	President of the Senate Speaker of the House
75	75	I certify that H.B. No. 916 was passed by the House on April
76	76	18, 2023, by the following vote: Yeas 136, Nays 9, 1 present, not
77	77	voting; and that the House concurred in Senate amendments to H.B.
78	78	No. 916 on May 19, 2023, by the following vote: Yeas 137, Nays 3, 2
79	79	present, not voting.
80	80	______________________________
81	81	Chief Clerk of the House
82	82	I certify that H.B. No. 916 was passed by the Senate, with
83	83	amendments, on May 17, 2023, by the following vote: Yeas 31, Nays
84	84	0.
85	85	______________________________
86	86	Secretary of the Senate
87	87	APPROVED: __________________
88	88	Date
89	89	__________________
90	90	Governor