1 | 1 | | S.B. No. 1040 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | AN ACT |
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5 | 5 | | relating to health benefit plan coverage of a transplant of an organ |
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6 | 6 | | that originated from or is transplanted in a country known to have |
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7 | 7 | | participated in forced organ harvesting. |
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8 | 8 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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9 | 9 | | SECTION 1. Subtitle E, Title 8, Insurance Code, is amended |
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10 | 10 | | by adding Chapter 1380 to read as follows: |
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11 | 11 | | CHAPTER 1380. HUMAN ORGAN TRANSPLANT |
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12 | 12 | | Sec. 1380.001. DEFINITION. In this chapter, "forced organ |
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13 | 13 | | harvesting" means the removal of one or more organs from a living |
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14 | 14 | | person by means of coercion, abduction, deception, fraud, or abuse |
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15 | 15 | | of power or a position of vulnerability. |
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16 | 16 | | Sec. 1380.002. APPLICABILITY OF CHAPTER. (a) This chapter |
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17 | 17 | | applies only to a health benefit plan that provides benefits for |
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18 | 18 | | medical or surgical expenses incurred as a result of a health |
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19 | 19 | | condition, accident, or sickness, including an individual, group, |
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20 | 20 | | blanket, or franchise insurance policy or insurance agreement, a |
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21 | 21 | | group hospital service contract, or an individual or group evidence |
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22 | 22 | | of coverage or similar coverage document that is offered by: |
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23 | 23 | | (1) an insurance company; |
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24 | 24 | | (2) a group hospital service corporation operating |
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25 | 25 | | under Chapter 842; |
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26 | 26 | | (3) a health maintenance organization operating under |
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27 | 27 | | Chapter 843; |
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28 | 28 | | (4) an approved nonprofit health corporation that |
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29 | 29 | | holds a certificate of authority under Chapter 844; |
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30 | 30 | | (5) a multiple employer welfare arrangement that holds |
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31 | 31 | | a certificate of authority under Chapter 846; |
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32 | 32 | | (6) a stipulated premium company operating under |
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33 | 33 | | Chapter 884; |
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34 | 34 | | (7) a fraternal benefit society operating under |
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35 | 35 | | Chapter 885; |
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36 | 36 | | (8) a Lloyd's plan operating under Chapter 941; or |
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37 | 37 | | (9) an exchange operating under Chapter 942. |
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38 | 38 | | (b) Notwithstanding any other law, this chapter applies to: |
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39 | 39 | | (1) a small employer health benefit plan subject to |
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40 | 40 | | Chapter 1501, including coverage provided through a health group |
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41 | 41 | | cooperative under Subchapter B of that chapter; |
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42 | 42 | | (2) a standard health benefit plan issued under |
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43 | 43 | | Chapter 1507; |
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44 | 44 | | (3) a basic coverage plan under Chapter 1551; |
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45 | 45 | | (4) a basic plan under Chapter 1575; |
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46 | 46 | | (5) a primary care coverage plan under Chapter 1579; |
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47 | 47 | | (6) a plan providing basic coverage under Chapter |
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48 | 48 | | 1601; |
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49 | 49 | | (7) health benefits provided by or through a church |
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50 | 50 | | benefits board under Subchapter I, Chapter 22, Business |
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51 | 51 | | Organizations Code; |
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52 | 52 | | (8) the state Medicaid program, including the Medicaid |
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53 | 53 | | managed care program operated under Chapter 533, Government Code; |
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54 | 54 | | (9) the child health plan program under Chapter 62, |
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55 | 55 | | Health and Safety Code; |
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56 | 56 | | (10) a regional or local health care program operated |
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57 | 57 | | under Section 75.104, Health and Safety Code; |
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58 | 58 | | (11) a self-funded health benefit plan sponsored by a |
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59 | 59 | | professional employer organization under Chapter 91, Labor Code; |
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60 | 60 | | (12) county employee group health benefits provided |
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61 | 61 | | under Chapter 157, Local Government Code; and |
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62 | 62 | | (13) health and accident coverage provided by a risk |
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63 | 63 | | pool created under Chapter 172, Local Government Code. |
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64 | 64 | | Sec. 1380.003. COVERAGE PROHIBITED. (a) A health benefit |
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65 | 65 | | plan issuer may not cover a human organ transplant or |
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66 | 66 | | post-transplant care if: |
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67 | 67 | | (1) the transplant operation is performed in China or |
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68 | 68 | | another country known to have participated in forced organ |
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69 | 69 | | harvesting, as designated by the commissioner of state health |
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70 | 70 | | services; or |
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71 | 71 | | (2) the human organ to be transplanted was procured by |
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72 | 72 | | a sale or donation originating in China or another country known to |
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73 | 73 | | have participated in forced organ harvesting, as designated by the |
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74 | 74 | | commissioner of state health services. |
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75 | 75 | | (b) The commissioner of state health services may designate |
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76 | 76 | | additional countries with governments that fund, sponsor, or |
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77 | 77 | | otherwise facilitate forced organ harvesting and shall provide |
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78 | 78 | | written notice to the commissioner, Teacher Retirement System of |
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79 | 79 | | Texas, Employees Retirement System of Texas, and executive |
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80 | 80 | | commissioner of the Health and Human Services Commission when the |
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81 | 81 | | commissioner of state health services designates an additional |
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82 | 82 | | country. |
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83 | 83 | | SECTION 2. It is the intent of the legislature that this |
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84 | 84 | | Act: |
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85 | 85 | | (1) combat the practice of forcibly harvesting organs |
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86 | 86 | | from living persons for transplant without free, voluntary consent; |
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87 | 87 | | (2) bring awareness to China's state-sanctioned |
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88 | 88 | | practice of forced organ harvesting of prisoners of conscience and |
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89 | 89 | | other vulnerable persons, including Falun Gong practitioners, |
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90 | 90 | | Uyghur Muslims, Tibetan Buddhists, and House Church Christians; and |
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91 | 91 | | (3) curb illicit transplant tourism and prevent |
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92 | 92 | | residents of this state from unknowingly involving themselves in |
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93 | 93 | | forced organ harvesting. |
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94 | 94 | | SECTION 3. If before implementing any provision of this Act |
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95 | 95 | | a state agency determines that a waiver or authorization from a |
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96 | 96 | | federal agency is necessary for implementation of that provision, |
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97 | 97 | | the agency affected by the provision shall request the waiver or |
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98 | 98 | | authorization and may delay implementing that provision until the |
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99 | 99 | | waiver or authorization is granted. |
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100 | 100 | | SECTION 4. Chapter 1380, Insurance Code, as added by this |
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101 | 101 | | Act, applies only to a health benefit plan delivered, issued for |
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102 | 102 | | delivery, or renewed on or after January 1, 2024. |
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103 | 103 | | SECTION 5. This Act takes effect September 1, 2023. |
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104 | 104 | | ______________________________ ______________________________ |
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105 | 105 | | President of the Senate Speaker of the House |
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106 | 106 | | I hereby certify that S.B. No. 1040 passed the Senate on |
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107 | 107 | | April 6, 2023, by the following vote: Yeas 31, Nays 0; and that |
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108 | 108 | | the Senate concurred in House amendment on May 25, 2023, by the |
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109 | 109 | | following vote: Yeas 31, Nays 0. |
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110 | 110 | | ______________________________ |
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111 | 111 | | Secretary of the Senate |
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112 | 112 | | I hereby certify that S.B. No. 1040 passed the House, with |
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113 | 113 | | amendment, on May 22, 2023, by the following vote: Yeas 145, |
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114 | 114 | | Nays 0, one present not voting. |
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115 | 115 | | ______________________________ |
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116 | 116 | | Chief Clerk of the House |
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117 | 117 | | Approved: |
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118 | 118 | | ______________________________ |
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119 | 119 | | Date |
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120 | 120 | | ______________________________ |
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121 | 121 | | Governor |
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