Bill Text: TX HB1832 | 2019-2020 | 86th Legislature | Comm Sub
Bill Title: Relating to prohibited practices relating to health benefit plan coverage for emergency care.
Spectrum: Moderate Partisan Bill (Democrat 19-5)
Status: (Engrossed - Dead) 2019-05-16 - Left pending in committee [HB1832 Detail]
Download: Texas-2019-HB1832-Comm_Sub.html
| 86R735 LED-D | ||
| By: J. Johnson of Dallas, Oliverson, Lambert, | H.B. No. 1832 | |
| et al. | ||
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| relating to prohibited practices relating to health benefit plan | ||
| coverage for emergency care. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Section 533.005, Government Code, is amended by | ||
| adding Subsection (e) to read as follows: | ||
| (e) In addition to the requirements under Subsection (a), a | ||
| contract described by that subsection must require the managed care | ||
| organization to comply with Section 541.062, Insurance Code. | ||
| SECTION 2. Subchapter B, Chapter 541, Insurance Code, is | ||
| amended by adding Section 541.062 to read as follows: | ||
| Sec. 541.062. EMERGENCY CARE. (a) In this section, | ||
| "emergency care" and "utilization review" have the meanings | ||
| assigned by Section 4201.002. | ||
| (b) It is an unfair method of competition or an unfair or | ||
| deceptive act or practice in the business of insurance to make | ||
| health benefit plan coverage for an emergency care claim dependent | ||
| on a utilization review determination that the patient's medical | ||
| condition required emergency care. | ||
| SECTION 3. Section 541.062, Insurance Code, as added by | ||
| this Act, applies only to a health benefit plan delivered, issued | ||
| for delivery, or renewed on or after January 1, 2020. A health | ||
| benefit plan delivered, issued for delivery, or renewed before | ||
| January 1, 2020, 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. If before implementing any provision of this Act | ||
| a state agency determines that a waiver or authorization from a | ||
| federal agency is necessary for implementation of that provision, | ||
| the agency affected by the provision shall request the waiver or | ||
| authorization and may delay implementing that provision until the | ||
| waiver or authorization is granted. | ||
| SECTION 5. This Act takes effect September 1, 2019. | ||
