Bill Text: TX SB2016 | 2021-2022 | 87th Legislature | Enrolled
Bill Title: Relating to the applicability of certain provisions mandating the provision by certain health benefit plans of health benefits requiring cost defrayal by this state.
Spectrum: Bipartisan Bill
Status: (Passed) 2021-06-16 - Effective immediately [SB2016 Detail]
Download: Texas-2021-SB2016-Enrolled.html
| S.B. No. 2016 | ||
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| relating to the applicability of certain provisions mandating the | ||
| provision by certain health benefit plans of health benefits | ||
| requiring cost defrayal by this state. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Chapter 1425, Insurance Code, is amended by | ||
| adding Subchapter A, and a heading is added to that subchapter to | ||
| read as follows: | ||
| SUBCHAPTER A. EXCEPTED BENEFITS | ||
| SECTION 2. Sections 1425.001 and 1425.002, Insurance Code, | ||
| are transferred to Subchapter A, Chapter 1425, Insurance Code, as | ||
| added by this Act. | ||
| SECTION 3. Chapter 1425, Insurance Code, is amended by | ||
| adding Subchapter B to read as follows: | ||
| SUBCHAPTER B. BENEFITS REQUIRING DEFRAYAL | ||
| Sec. 1425.051. DEFINITION. In this subchapter, "qualified | ||
| health plan" has the meaning assigned by 45 C.F.R. Section 155.20. | ||
| Sec. 1425.052. EXEMPTION FROM SUBTITLE FOR BENEFITS | ||
| REQUIRING DEFRAYAL. (a) A provision of this subtitle that is | ||
| enacted on or after January 1, 2012, does not apply to a qualified | ||
| health plan if a determination is made under 45 C.F.R. Section | ||
| 155.170 that: | ||
| (1) the provision requires the qualified health plan | ||
| to offer benefits in addition to the essential health benefits | ||
| required under 42 U.S.C. Section 18022(b); and | ||
| (2) this state must make payments to defray the cost of | ||
| the additional benefits mandated by the provision. | ||
| (b) If a determination described by Subsection (a) is made | ||
| as to a qualified health plan, the provision to which the | ||
| determination relates does not apply to a non-qualified health plan | ||
| if the non-qualified health plan is offered in the same market as | ||
| the qualified health plan. | ||
| SECTION 4. This Act takes effect immediately if it receives | ||
| a vote of two-thirds of all the members elected to each house, as | ||
| provided by Section 39, Article III, Texas Constitution. If this | ||
| Act does not receive the vote necessary for immediate effect, this | ||
| Act takes effect September 1, 2021. | ||
| ______________________________ | ______________________________ | |
| President of the Senate | Speaker of the House | |
| I hereby certify that S.B. No. 2016 passed the Senate on | ||
| April 19, 2021, by the following vote: Yeas 31, Nays 0. | ||
| ______________________________ | ||
| Secretary of the Senate | ||
| I hereby certify that S.B. No. 2016 passed the House on | ||
| May 26, 2021, by the following vote: Yeas 138, Nays 9, two present | ||
| not voting. | ||
| ______________________________ | ||
| Chief Clerk of the House | ||
| Approved: | ||
| ______________________________ | ||
| Date | ||
| ______________________________ | ||
| Governor | ||
