Bill Text: TX HB2636 | 2021-2022 | 87th Legislature | Introduced
Bill Title: Relating to health benefit plan coverage of at-home diagnostic medical devices.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2021-03-17 - Referred to Insurance [HB2636 Detail]
Download: Texas-2021-HB2636-Introduced.html
87R6579 MEW-D | ||
By: Lopez | H.B. No. 2636 |
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relating to health benefit plan coverage of at-home diagnostic | ||
medical devices. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subtitle E, Title 8, Insurance Code, is amended | ||
by adding Chapter 1381 to read as follows: | ||
CHAPTER 1381. AT-HOME DIAGNOSTIC MEDICAL DEVICES | ||
Sec. 1381.001. APPLICABILITY OF CHAPTER. (a) This chapter | ||
applies only to a health benefit plan that provides benefits for | ||
medical or surgical expenses incurred as a result of a health | ||
condition, accident, or sickness, including an individual, group, | ||
blanket, or franchise insurance policy or insurance agreement, a | ||
group hospital service contract, or an individual or group evidence | ||
of coverage or similar coverage document that is offered by: | ||
(1) an insurance company; | ||
(2) a group hospital service corporation operating | ||
under Chapter 842; | ||
(3) a health maintenance organization operating under | ||
Chapter 843; | ||
(4) an approved nonprofit health corporation that | ||
holds a certificate of authority under Chapter 844; | ||
(5) a multiple employer welfare arrangement that holds | ||
a certificate of authority under Chapter 846; | ||
(6) a stipulated premium company operating under | ||
Chapter 884; | ||
(7) a fraternal benefit society operating under | ||
Chapter 885; | ||
(8) a Lloyd's plan operating under Chapter 941; or | ||
(9) an exchange operating under Chapter 942. | ||
(b) Notwithstanding any other law, this chapter applies to: | ||
(1) a small employer health benefit plan subject to | ||
Chapter 1501, including coverage provided through a health group | ||
cooperative under Subchapter B of that chapter; | ||
(2) a standard health benefit plan issued under | ||
Chapter 1507; | ||
(3) a basic coverage plan under Chapter 1551; | ||
(4) a basic plan under Chapter 1575; | ||
(5) a primary care coverage plan under Chapter 1579; | ||
(6) a plan providing basic coverage under Chapter | ||
1601; | ||
(7) health benefits provided by or through a church | ||
benefits board under Subchapter I, Chapter 22, Business | ||
Organizations Code; | ||
(8) the state Medicaid program, including the Medicaid | ||
managed care program operated under Chapter 533, Government Code; | ||
(9) the child health plan program under Chapter 62, | ||
Health and Safety Code; | ||
(10) a regional or local health care program operated | ||
under Section 75.104, Health and Safety Code; | ||
(11) a self-funded health benefit plan sponsored by a | ||
professional employer organization under Chapter 91, Labor Code; | ||
(12) county employee group health benefits provided | ||
under Chapter 157, Local Government Code; and | ||
(13) health and accident coverage provided by a risk | ||
pool created under Chapter 172, Local Government Code. | ||
Sec. 1381.002. COVERAGE REQUIRED. A health benefit plan | ||
must provide coverage for a covered individual who is 55 years of | ||
age or older or who has a chronic medical condition for the cost of | ||
any at-home diagnostic medical device recommended by the | ||
individual's primary care provider, including a device used to | ||
measure: | ||
(1) blood pressure; | ||
(2) heart rate; | ||
(3) blood glucose levels; | ||
(4) oxygen saturation levels; and | ||
(5) respiratory rate. | ||
SECTION 2. Chapter 1381, 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, 2022. A health benefit | ||
plan delivered, issued for delivery, or renewed before January 1, | ||
2022, 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 3. This Act takes effect September 1, 2021. |