Bill Text: TX SB1484 | 2013-2014 | 83rd Legislature | Enrolled
Bill Title: Relating to health benefit plan coverage for enrollees diagnosed with autism spectrum disorder.
Spectrum: Slight Partisan Bill (Democrat 4-2)
Status: (Passed) 2013-06-14 - Effective on 9/1/13 [SB1484 Detail]
Download: Texas-2013-SB1484-Enrolled.html
S.B. No. 1484 |
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relating to health benefit plan coverage for enrollees diagnosed | ||
with autism spectrum disorder. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 1355.015, Insurance Code, is amended by | ||
amending Subsection (a) and adding Subsections (c-1) and (f) to | ||
read as follows: | ||
(a) At a minimum, a health benefit plan must provide | ||
coverage as provided by this section to an enrollee who is diagnosed | ||
with autism spectrum disorder from the date of diagnosis, only if | ||
the diagnosis was in place prior to the child's 10th birthday [ |
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(c-1) The health benefit plan is not required to provide | ||
coverage under Subsection (b) for benefits for an enrollee 10 years | ||
of age or older for applied behavior analysis in an amount that | ||
exceeds $36,000 per year. | ||
(f) To the extent that this section would otherwise require | ||
this state to make a payment under 42 U.S.C. Section | ||
18031(d)(3)(B)(ii), a qualified health plan, as defined by 45 | ||
C.F.R. Section 155.20, is not required to provide a benefit under | ||
this section that exceeds the specified essential health benefits | ||
required under 42 U.S.C. Section 18022(b). | ||
SECTION 2. The heading to Section 1355.015, Insurance Code, | ||
is amended to read as follows: | ||
Sec. 1355.015. REQUIRED COVERAGE FOR CERTAIN ENROLLEES | ||
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SECTION 3. Section 1355.015, Insurance Code, as amended by | ||
this Act, applies only to a health benefit plan that is delivered, | ||
issued for delivery, or renewed on or after the effective date of | ||
this Act. A health benefit plan that is delivered, issued for | ||
delivery, or renewed before the effective date of this Act is | ||
covered by the law in effect at the time the health benefit plan is | ||
delivered, issued for delivery, or renewed, and that law is | ||
continued in effect for that purpose. | ||
SECTION 4. This Act takes effect September 1, 2013. | ||
______________________________ | ______________________________ | |
President of the Senate | Speaker of the House | |
I hereby certify that S.B. No. 1484 passed the Senate on | ||
May 1, 2013, by the following vote: Yeas 18, Nays 13. | ||
______________________________ | ||
Secretary of the Senate | ||
I hereby certify that S.B. No. 1484 passed the House on | ||
May 21, 2013, by the following vote: Yeas 147, Nays 0, two | ||
present not voting. | ||
______________________________ | ||
Chief Clerk of the House | ||
Approved: | ||
______________________________ | ||
Date | ||
______________________________ | ||
Governor |