Bill Text: TX HB2603 | 2017-2018 | 85th Legislature | Introduced
Bill Title: Relating to coverage for serious mental illness under certain group health benefit plans.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2017-05-08 - Committee report sent to Calendars [HB2603 Detail]
Download: Texas-2017-HB2603-Introduced.html
85R4955 MEW-D | ||
By: Farrar | H.B. No. 2603 |
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relating to coverage for serious mental illness under certain group | ||
health benefit plans. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 1355.001, Insurance Code, is amended by | ||
amending Subdivision (1) and adding Subdivision (5) to read as | ||
follows: | ||
(1) "Serious mental illness" means the following | ||
psychiatric illnesses as defined by the American Psychiatric | ||
Association in the Diagnostic and Statistical Manual of Mental | ||
Disorders (DSM), fifth edition, or a later edition adopted by the | ||
commissioner: | ||
(A) bipolar disorders (hypomanic, manic, | ||
depressive, and mixed); | ||
(B) depression in childhood and adolescence; | ||
(C) major depressive disorders (single episode | ||
or recurrent); | ||
(D) obsessive-compulsive disorders; | ||
(E) paranoid and other psychotic disorders; | ||
(F) posttraumatic stress disorder; | ||
(G) schizo-affective disorders (bipolar or | ||
depressive); and | ||
(H) [ |
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(5) "Posttraumatic stress disorder" means a disorder | ||
that: | ||
(A) meets the diagnostic criteria for | ||
posttraumatic stress disorder specified by the American | ||
Psychiatric Association in the Diagnostic and Statistical Manual of | ||
Mental Disorders, fifth edition, or a later edition adopted by the | ||
commissioner; and | ||
(B) results in an impairment of a person's | ||
functioning in the person's community, employment, family, school, | ||
or social group. | ||
SECTION 2. The heading to Section 1355.003, Insurance Code, | ||
is amended to read as follows: | ||
Sec. 1355.003. EXCEPTIONS [ |
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SECTION 3. Section 1355.003, Insurance Code, is amended by | ||
adding Subsection (c) to read as follows: | ||
(c) This subchapter, or the applicable portion of this | ||
subchapter, does not apply to a qualified health plan to the extent | ||
that a determination is made under 45 C.F.R. Section 155.170 that: | ||
(1) this subchapter or a portion of this subchapter | ||
requires the plan to offer benefits in addition to the essential | ||
health benefits required under 42 U.S.C. Section 18022(b); and | ||
(2) this state is required to defray the cost of the | ||
benefits mandated under this subchapter or a portion of this | ||
subchapter. | ||
SECTION 4. The change in law made by this Act applies only | ||
to a group health benefit plan that is delivered, issued for | ||
delivery, or renewed on or after January 1, 2018. A group health | ||
benefit plan that is delivered, issued for delivery, or renewed | ||
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 5. This Act takes effect September 1, 2017. |