Bill Text: TX HB1410 | 2019-2020 | 86th Legislature | Comm Sub

Texas House Bill 1410 (Prior Session Legislation)

Bill Title: Relating to payment for care provided by a chiropractor under certain health benefit plans.

Spectrum: Bipartisan Bill

Status: (Introduced - Dead) 2019-05-10 - Laid on the table subject to call [HB1410 Detail]

Download: Texas-2019-HB1410-Comm_Sub.html

	86R24953 SMT-F

	By: Lucio III	H.B. No. 1410

	Substitute the following for H.B. No. 1410:

	By: Lucio III	C.S.H.B. No. 1410



	A BILL TO BE ENTITLED
	AN ACT
	relating to payment for care provided by a chiropractor under
	certain health benefit plans.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1. Subchapter I, Chapter 843, Insurance Code, is
	amended by adding Section 843.3042 to read as follows:
	Sec. 843.3042. CHIROPRACTIC SERVICES. (a) A health
	maintenance organization offering a health care plan that covers a
	service that is within the scope of the practice of chiropractic as
	described by Section 201.002, Occupations Code, may not refuse to
	provide reimbursement to an in-network chiropractor for the
	performance of the covered service solely because the service is
	provided by a chiropractor.
	(b) This section does not require a health maintenance
	organization to cover a particular health care service.
	(c) This section does not affect the right of a health
	maintenance organization to determine whether a health care service
	is medically necessary.
	SECTION 2. Subchapter B, Chapter 1301, Insurance Code, is
	amended by adding Section 1301.0516 to read as follows:
	Sec. 1301.0516. CHIROPRACTIC SERVICES. (a) An insurer
	offering a preferred provider benefit plan, other than an exclusive
	provider benefit plan, that covers a service that is within the
	scope of the practice of chiropractic as described by Section
	201.002, Occupations Code, may not refuse to provide reimbursement
	for the performance of the covered service solely because the
	service is provided by a chiropractor.
	(b) An insurer offering an exclusive provider benefit plan
	that covers a service that is within the scope of the practice of
	chiropractic as described by Section 201.002, Occupations Code, may
	not refuse to provide reimbursement to a chiropractor who is a
	preferred provider for the performance of the covered service
	solely because the service is provided by a chiropractor.
	(c) This section does not require an insurer to cover a
	particular medical or health care service.
	(d) This section does not affect the right of an insurer to
	determine whether a medical or health care service is medically
	necessary.
	SECTION 3. The change in law made by this Act applies only
	to a health benefit plan that is delivered, issued for delivery, or
	renewed on or after January 1, 2020. A health benefit plan that is
	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. This Act takes effect September 1, 2019.