Bill Text: TX HB1428 | 2017-2018 | 85th Legislature | Enrolled
Bill Title: Relating to mediation of the settlement of certain out-of-network health benefit claims involving balance billing for members of the Teacher Retirement System of Texas.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Passed) 2017-05-26 - Effective on 9/1/17 [HB1428 Detail]
Download: Texas-2017-HB1428-Enrolled.html
| H.B. No. 1428 | ||
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| relating to mediation of the settlement of certain out-of-network | ||
| health benefit claims involving balance billing for members of the | ||
| Teacher Retirement System of Texas. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Sections 1467.001(1) and (3), Insurance Code, | ||
| are amended to read as follows: | ||
| (1) "Administrator" means: | ||
| (A) an administering firm for a health benefit | ||
| plan providing coverage under Chapter 1551, 1575, or 1579; and | ||
| (B) if applicable, the claims administrator for | ||
| the health benefit plan. | ||
| (3) "Enrollee" means an individual who is eligible to | ||
| receive benefits through a preferred provider benefit plan or a | ||
| health benefit plan under Chapter 1551, 1575, or 1579. | ||
| SECTION 2. Section 1467.002, Insurance Code, is amended to | ||
| read as follows: | ||
| Sec. 1467.002. APPLICABILITY OF CHAPTER. This chapter | ||
| applies to: | ||
| (1) a preferred provider benefit plan offered by an | ||
| insurer under Chapter 1301; and | ||
| (2) an administrator of a health benefit plan, other | ||
| than a health maintenance organization plan, under Chapter 1551, | ||
| 1575, or 1579. | ||
| SECTION 3. The changes in law made by this Act apply only to | ||
| a health benefit claim for a medical service or supply provided on | ||
| or after January 1, 2018. A claim for a medical service or supply | ||
| provided before January 1, 2018, is governed by the law as it | ||
| existed immediately before the effective date of this Act, and that | ||
| law is continued in effect for that purpose. | ||
| SECTION 4. This Act takes effect September 1, 2017. | ||
| ______________________________ | ______________________________ | |
| President of the Senate | Speaker of the House | |
| I certify that H.B. No. 1428 was passed by the House on April | ||
| 26, 2017, by the following vote: Yeas 147, Nays 0, 1 present, not | ||
| voting. | ||
| ______________________________ | ||
| Chief Clerk of the House | ||
| I certify that H.B. No. 1428 was passed by the Senate on May | ||
| 12, 2017, by the following vote: Yeas 31, Nays 0. | ||
| ______________________________ | ||
| Secretary of the Senate | ||
| APPROVED: _____________________ | ||
| Date | ||
| _____________________ | ||
| Governor | ||
