| 1 | 1 | | 88R8066 SCL-D |
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| 2 | 2 | | By: Hancock S.B. No. 1306 |
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| 3 | 3 | | |
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| 4 | 4 | | |
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| 5 | 5 | | A BILL TO BE ENTITLED |
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| 6 | 6 | | AN ACT |
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| 7 | 7 | | relating to the application of balance billing prohibitions and |
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| 8 | 8 | | out-of-network dispute resolution procedures to certain |
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| 9 | 9 | | self-insured or self-funded employee welfare benefit plans. |
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| 10 | 10 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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| 11 | 11 | | SECTION 1. Section 1275.002, Insurance Code, is amended to |
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| 12 | 12 | | read as follows: |
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| 13 | 13 | | Sec. 1275.002. APPLICABILITY OF CHAPTER. This chapter |
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| 14 | 14 | | applies only to: |
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| 15 | 15 | | (1) a health benefit plan offered by a nonprofit |
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| 16 | 16 | | agricultural organization under Chapter 1682; and |
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| 17 | 17 | | (2) a health benefit plan: |
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| 18 | 18 | | (A) that is a self-insured or self-funded plan |
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| 19 | 19 | | established by an employer for the benefit of the employer's |
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| 20 | 20 | | employees in accordance with the Employee Retirement Income |
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| 21 | 21 | | Security Act of 1974 (29 U.S.C. Section 1001 et seq.); and |
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| 22 | 22 | | (B) for which the plan sponsor has made an |
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| 23 | 23 | | election, submitted to the commissioner in the form and manner |
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| 24 | 24 | | prescribed by the commissioner, to apply this chapter to the plan |
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| 25 | 25 | | for the relevant plan year. |
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| 26 | 26 | | SECTION 2. Not later than December 1, 2023, the |
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| 27 | 27 | | commissioner of insurance shall adopt rules necessary to implement |
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| 28 | 28 | | the change in law made by this Act. |
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| 29 | 29 | | SECTION 3. This Act takes effect September 1, 2023. |
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