Bill Text: TX HB609 | 2021-2022 | 87th Legislature | Introduced
Bill Title: Relating to health benefit plan coverage for laparoscopic removal of uterine fibroids.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2021-03-01 - Referred to Insurance [HB609 Detail]
Download: Texas-2021-HB609-Introduced.html
| 87R1445 RDS-D | ||
| By: Howard | H.B. No. 609 | |
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| relating to health benefit plan coverage for laparoscopic removal | ||
| of uterine fibroids. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Subtitle E, Title 8, Insurance Code, is amended | ||
| by adding Chapter 1372 to read as follows: | ||
| CHAPTER 1372. COVERAGE FOR LAPAROSCOPIC REMOVAL OF UTERINE FIBROIDS | ||
| Sec. 1372.001. 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. 1372.002. COVERAGE REQUIRED. A health benefit plan | ||
| that provides coverage for hysterectomy or myomectomy must provide | ||
| coverage for laparoscopic removal of uterine fibroids, including | ||
| intraoperative ultrasound guidance and monitoring and | ||
| radiofrequency ablation. | ||
| SECTION 2. Chapter 1372, 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, 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. | ||
