1 | 1 | | 89R1818 CJD-D |
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2 | 2 | | By: Cole H.B. No. 1101 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to the enrollment period for newborns under certain |
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10 | 10 | | employer health benefit plans. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Section 846.258(b), Insurance Code, is amended |
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13 | 13 | | to read as follows: |
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14 | 14 | | (b) Coverage of a newborn child of a participating employee |
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15 | 15 | | under this section ends on the 61st [32nd] day after the date of the |
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16 | 16 | | child's birth unless: |
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17 | 17 | | (1) children are eligible for coverage under the |
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18 | 18 | | multiple employer welfare arrangement's plan document; and |
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19 | 19 | | (2) not later than the 60th [31st] day after the date |
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20 | 20 | | of birth, the arrangement receives: |
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21 | 21 | | (A) notice of the birth; and |
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22 | 22 | | (B) any required additional premium. |
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23 | 23 | | SECTION 2. Section 1501.157(b), Insurance Code, is amended |
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24 | 24 | | to read as follows: |
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25 | 25 | | (b) Coverage of a newborn child of a covered employee under |
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26 | 26 | | this section ends on the 61st [32nd] day after the date of the |
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27 | 27 | | child's birth unless, not later than the 60th [31st] day after the |
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28 | 28 | | date of birth, the small employer health benefit plan issuer |
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29 | 29 | | receives: |
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30 | 30 | | (1) notice of the birth; and |
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31 | 31 | | (2) any required additional premium. |
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32 | 32 | | SECTION 3. Section 1501.607(b), Insurance Code, is amended |
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33 | 33 | | to read as follows: |
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34 | 34 | | (b) Coverage of a newborn child of a covered employee under |
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35 | 35 | | this section ends on the 61st [32nd] day after the date of the |
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36 | 36 | | child's birth unless: |
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37 | 37 | | (1) children are eligible for coverage under the large |
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38 | 38 | | employer health benefit plan; and |
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39 | 39 | | (2) not later than the 60th [31st] day after the date |
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40 | 40 | | of birth, the large employer health benefit plan issuer receives: |
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41 | 41 | | (A) notice of the birth; and |
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42 | 42 | | (B) any required additional premium. |
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43 | 43 | | SECTION 4. The change in law made by this Act applies only |
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44 | 44 | | to a health benefit plan that is delivered, issued for delivery, or |
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45 | 45 | | renewed on or after January 1, 2026. A health benefit plan that is |
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46 | 46 | | delivered, issued for delivery, or renewed before January 1, 2026, |
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47 | 47 | | is governed by the law as it existed immediately before the |
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48 | 48 | | effective date of this Act, and that law is continued in effect for |
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49 | 49 | | that purpose. |
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50 | 50 | | SECTION 5. This Act takes effect September 1, 2025. |
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