Bill Text: TX HB3039 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to coverage for bacterial meningitis vaccinations under certain health benefit plans.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2019-03-26 - Withdrawn from schedule [HB3039 Detail]
Download: Texas-2019-HB3039-Introduced.html
| 86R11313 JES-D | ||
| By: Turner of Tarrant | H.B. No. 3039 | |
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| relating to coverage for bacterial meningitis vaccinations under | ||
| certain health benefit plans. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Subtitle E, Title 8, Insurance Code, is amended | ||
| by adding Chapter 1380 to read as follows: | ||
| CHAPTER 1380. COVERAGE FOR BACTERIAL MENINGITIS VACCINATION | ||
| Sec. 1380.0001. 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) group health coverage made available by a school | ||
| district in accordance with Section 22.004, Education Code; | ||
| (9) the state Medicaid program, including the Medicaid | ||
| managed care program operated under Chapter 533, Government Code; | ||
| (10) the child health plan program under Chapter 62, | ||
| Health and Safety Code; | ||
| (11) a regional or local health care program operated | ||
| under Section 75.104, Health and Safety Code; | ||
| (12) a self-funded health benefit plan sponsored by a | ||
| professional employer organization under Chapter 91, Labor Code; | ||
| (13) county employee group health benefits provided | ||
| under Chapter 157, Local Government Code; and | ||
| (14) health and accident coverage provided by a risk | ||
| pool created under Chapter 172, Local Government Code. | ||
| (c) This chapter applies to coverage under a group health | ||
| benefit plan provided to a resident of this state regardless of | ||
| whether the group policy, agreement, or contract is delivered, | ||
| issued for delivery, or renewed in this state. | ||
| (d) Notwithstanding any other law, this chapter applies to a | ||
| health benefit plan under which the coverage period is more than 90 | ||
| days and less than 12 months in duration. | ||
| Sec. 1380.0002. EXCEPTIONS. (a) This chapter does not | ||
| apply to: | ||
| (1) a plan that provides coverage: | ||
| (A) for wages or payments in lieu of wages for a | ||
| period during which an employee is absent from work because of | ||
| sickness or injury; | ||
| (B) as a supplement to a liability insurance | ||
| policy; | ||
| (C) for credit insurance; | ||
| (D) only for dental or vision care; | ||
| (E) only for hospital expenses; or | ||
| (F) only for indemnity for hospital confinement; | ||
| (2) a workers' compensation insurance policy; or | ||
| (3) medical payment insurance coverage provided under | ||
| a motor vehicle insurance policy. | ||
| (b) This chapter does not apply to an individual health | ||
| benefit plan issued on or before March 23, 2010, that has not had | ||
| any significant changes since that date that reduce benefits or | ||
| increase costs to the individual. | ||
| Sec. 1380.0003. COVERAGE REQUIRED. (a) A health benefit | ||
| plan must include coverage for all bacterial meningitis | ||
| vaccinations recommended under generally accepted standards of | ||
| medical practice, including any booster doses of the vaccine. | ||
| (b) Coverage required by this section may not be less | ||
| favorable than coverage for immunizations under Subchapter B, | ||
| Chapter 1367. | ||
| SECTION 2. If before implementing any provision of this Act | ||
| a state agency determines that a waiver or authorization from a | ||
| federal agency is necessary for implementation of that provision, | ||
| the agency affected by the provision shall request the waiver or | ||
| authorization and may delay implementing that provision until the | ||
| waiver or authorization is granted. | ||
| SECTION 3. Chapter 1380, Insurance Code, as added by this | ||
| Act, applies only to a health benefit plan that is delivered, issued | ||
| for delivery, or renewed on or after January 1, 2020. | ||
| SECTION 4. This Act takes effect September 1, 2019. | ||
