Bill Text: TX HB1342 | 2021-2022 | 87th Legislature | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating to the provision of certain health information and other information to school districts and other participating entities in the Texas school employees uniform group health coverage program.

Spectrum: Partisan Bill (Republican 2-0)

Status: (Engrossed - Dead) 2021-05-18 - Placed on intent calendar [HB1342 Detail]

Download: Texas-2021-HB1342-Introduced.html
  87R1471 MEW-D
 
  By: Leach H.B. No. 1342
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the provision of certain historical claims data and
  other information to school districts and other participating
  entities in the Texas school employees uniform group health
  coverage program.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter A, Chapter 1579, Insurance Code, is
  amended by adding Section 1579.010 to read as follows:
         Sec. 1579.010.  PARTICIPATING ENTITY REQUEST FOR CERTAIN
  INFORMATION. (a)  Subject to Subsection (b), the trustee shall
  provide to a participating entity any historical claims data,
  enrollment information, or other relevant information available to
  the trustee as requested by the entity in connection with a search
  for alternative health benefit plan coverage for the entity's
  employees and the employees' dependents.  The information provided
  must include, for each tier of group coverage and for the five-year
  period preceding the date of the request:
               (1)  the monthly claims experience history;
               (2)  information concerning the type of illness or
  injury and the ongoing status of the illness or injury for:
                     (A)  each medical claim that exceeds $50,000; and
                     (B)  each related series of medical claims for the
  same covered individual and for the same diagnosis that exceeds
  $50,000;
               (3)  any other information requested by the
  participating entity concerning covered individuals who are
  responsible for a claim or claims that total a large amount, as
  specified by the requesting participating entity;
               (4)  information concerning prescription drug claims
  and costs; and
               (5)  plan enrollment.
         (b)  The information provided by the trustee under this
  section may not include any personally identifying information of a
  covered individual, including any information that would identify a
  named covered individual as having a particular medical condition.
         (c)  The trustee shall provide the information requested
  under this section at no cost to the requesting participating
  entity.
         SECTION 2.  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.
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