Bill Text: TX SB1896 | 2019-2020 | 86th Legislature | Introduced


Bill Title: Relating to alternate health benefit plan contact information for victims of family violence.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2019-03-18 - Referred to Business & Commerce [SB1896 Detail]

Download: Texas-2019-SB1896-Introduced.html
  86R12252 SCL-F
 
  By: Zaffirini S.B. No. 1896
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to alternate health benefit plan contact information for
  victims of family violence.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle A, Title 8, Insurance Code, is amended
  by adding Chapter 1222 to read as follows:
  CHAPTER 1222. ALTERNATE CONTACT INFORMATION FOR VICTIMS OF FAMILY
  VIOLENCE
         Sec. 1222.0001.  DEFINITIONS. In this chapter:
               (1)  "Family violence" has the meaning assigned by
  Section 71.004, Family Code.
               (2)  "Health benefit plan" means a plan to which this
  chapter applies under Section 1222.0002.
               (3)  "Health benefit plan issuer" means an entity
  authorized under this code or another insurance law of this state
  that provides health insurance or health benefits in this state.
               (4)  "Protective order" has the meaning assigned by
  Section 88.002, Family Code.
         Sec. 1222.0002.  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
  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 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.
         Sec. 1222.0003.  APPLICATION FOR ALTERNATE CONTACT
  INFORMATION. (a) An individual who is a victim of family violence
  and who is a covered dependent in a health benefit plan may apply to
  the health benefit plan issuer to designate an alternate mailing
  address, telephone number, or other contact information necessary
  for billing or claims purposes for the individual and each other
  covered dependent named in the application.
         (b)  An application described by Subsection (a) must
  include:
               (1)  a valid protective order issued in this state
  against the policyholder or certificate holder of the individual's
  health benefit plan; or
               (2)  a signed affidavit stating that:
                     (A)  the individual is a victim of family
  violence; and
                     (B)  the disclosure of the alternate contact
  information provided in the application would endanger the
  individual.
         (c)  A health benefit plan issuer who receives a completed
  application under Subsection (a) shall grant the application and
  authorize the individual to have alternate contact information for
  the individual and each dependent named in the application.
         Sec. 1222.0004.  DISCLOSURE OF ALTERNATE CONTACT
  INFORMATION. A health benefit plan issuer may not disclose the
  alternate contact information provided in an application described
  by Section 1222.0003 to the policyholder or certificate holder of
  the individual's health benefit plan unless the individual consents
  to the disclosure in writing. The issuer shall ensure that any
  health care provider providing services under the plan does not
  disclose the information in accordance with this section.
         Sec. 1222.0005.  RULES. The commissioner, in consultation
  with the Health and Human Services Commission and the Department of
  Family and Protective Services, shall adopt rules to guide and
  enable health benefit plan issuers to protect the alternate contact
  information provided to issuers under this chapter.
         SECTION 2.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2019.
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