Bill Text: TX HB2367 | 2019-2020 | 86th Legislature | Engrossed
Bill Title: Relating to a prohibition on bids by certain insurance and health benefit providers to administer or provide coverage under certain group benefit plans for governmental employees.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Engrossed - Dead) 2019-05-13 - Referred to Business & Commerce [HB2367 Detail]
Download: Texas-2019-HB2367-Engrossed.html
By: Bonnen of Galveston | H.B. No. 2367 |
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relating to a prohibition on bids by certain insurance and health | ||
benefit providers to administer or provide coverage under certain | ||
group benefit plans for governmental employees. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter E, Chapter 1551, Insurance Code, is | ||
amended by adding Section 1551.2131 to read as follows: | ||
Sec. 1551.2131. CERTAIN CARRIERS PROHIBITED FROM BIDDING. | ||
(a) The commissioner shall provide notice to the board of trustees | ||
if the commissioner finds that a carrier has terminated a contract | ||
with a physician or provider for the provision of services solely | ||
because the physician or provider informed an enrollee in a health | ||
benefit plan offered or administered by the carrier of the full | ||
range of physicians and providers, including out-of-network | ||
providers, available to the enrollee after previously being | ||
sanctioned or penalized by the department for engaging in the | ||
conduct described by this subsection. | ||
(b) If the board of trustees receives notice under | ||
Subsection (a) regarding a carrier, the carrier is prohibited from | ||
submitting a bid under Section 1551.212 or 1551.213 for two | ||
competitive bidding cycles. | ||
SECTION 2. Subchapter C, Chapter 1575, Insurance Code, is | ||
amended by adding Section 1575.1061 to read as follows: | ||
Sec. 1575.1061. CERTAIN HEALTH CARE PROVIDERS PROHIBITED | ||
FROM BIDDING. (a) The commissioner shall provide notice to the | ||
trustee if the commissioner finds that a health care provider has | ||
terminated a contract with a physician or provider for the | ||
provision of services solely because the physician or provider | ||
informed an enrollee in a health benefit plan offered or | ||
administered by the health care provider of the full range of | ||
physicians and providers, including out-of-network providers, | ||
available to the enrollee after previously being sanctioned or | ||
penalized by the department for engaging in the conduct described | ||
by this subsection. | ||
(b) If the trustee receives notice under Subsection (a) | ||
regarding a health care provider described by Section 1575.109, the | ||
health care provider is prohibited from submitting a bid under | ||
Section 1575.106 for two competitive bidding cycles. | ||
SECTION 3. Subchapter B, Chapter 1579, Insurance Code, is | ||
amended by adding Section 1579.0541 to read as follows: | ||
Sec. 1579.0541. CERTAIN HEALTH CARE AND BENEFIT PROVIDERS | ||
PROHIBITED FROM BIDDING. (a) The commissioner shall provide | ||
notice to the trustee if the commissioner finds that a health care | ||
or benefit provider has terminated a contract with a physician or | ||
provider for the provision of services solely because the physician | ||
or provider informed an enrollee in a health coverage plan offered | ||
or administered by the health care or benefit provider of the full | ||
range of physicians and providers, including out-of-network | ||
providers, available to the enrollee after previously being | ||
sanctioned or penalized by the department for engaging in the | ||
conduct described by this subsection. | ||
(b) If the trustee receives notice under Subsection (a) | ||
regarding a health care or benefit provider, the health care or | ||
benefit provider is prohibited from submitting a bid under Section | ||
1579.054 for two competitive bidding cycles. | ||
SECTION 4. This Act takes effect September 1, 2019. |