Bill Text: TX SB1051 | 2023-2024 | 88th Legislature | Enrolled

Texas Senate Bill 1051

Bill Title: Relating to a uniform coordination of benefits questionnaire for health benefit plans.

Spectrum: Partisan Bill (Republican 2-0)

Status: (Vetoed) 2023-06-18 - Vetoed by the Governor [SB1051 Detail]

Download: Texas-2023-SB1051-Enrolled.html



	S.B. No. 1051




	AN ACT
	relating to a uniform coordination of benefits questionnaire for
	health benefit plans.
	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
	SECTION 1. Chapter 1203, Insurance Code, is amended by
	adding Subchapter C to read as follows:
	SUBCHAPTER C. COORDINATION OF BENEFITS QUESTIONNAIRE
	Sec. 1203.101. APPLICABILITY OF SUBCHAPTER. (a) This
	subchapter 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
	issued 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 Lloyd's plan operating under Chapter 941; or
	(8) an exchange operating under Chapter 942.
	(b) Notwithstanding any other law, this subchapter 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) alternative health benefit coverage offered by a
	subsidiary of the Texas Mutual Insurance Company under Subchapter
	M, Chapter 2054;
	(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; and
	(12) a self-funded health benefit plan sponsored by a
	professional employer organization under Chapter 91, Labor Code.
	Sec. 1203.102. CREATION OF UNIFORM COORDINATION OF BENEFITS
	QUESTIONNAIRE. In collaboration with appropriate stakeholders,
	the commissioner shall adopt rules establishing a uniform
	coordination of benefits questionnaire to be used by all health
	benefit plan issuers in this state.
	Sec. 1203.103. UNIFORM COORDINATION OF BENEFITS
	QUESTIONNAIRE REQUIRED. Each health benefit plan issuer that
	issues a health benefit plan that includes a coordination of
	benefits provision shall use the uniform coordination of benefits
	questionnaire established under Section 1203.102 and make the
	questionnaire available to health care providers as appropriate.
	SECTION 2. (a) Not later than January 1, 2024, the
	commissioner of insurance shall adopt rules establishing the
	uniform coordination of benefits questionnaire under Section
	1203.102, Insurance Code, as added by this Act.
	(b) The changes in law made by this Act apply only to the use
	of a coordination of benefits questionnaire on or after February 1,
	2024.
	SECTION 3. This Act takes effect September 1, 2023.





	______________________________	______________________________
	President of the Senate	Speaker of the House

	I hereby certify that S.B. No. 1051 passed the Senate on
	April 24, 2023, by the following vote: Yeas 30, Nays 0; and that
	the Senate concurred in House amendment on May 25, 2023, by the
	following vote: Yeas 31, Nays 0.


	______________________________
	Secretary of the Senate

	I hereby certify that S.B. No. 1051 passed the House, with
	amendment, on May 19, 2023, by the following vote: Yeas 133,
	Nays 10, two present not voting.


	______________________________
	Chief Clerk of the House



	Approved:

	______________________________
	Date


	______________________________
	Governor