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 |
|
||
|
||
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. |