Bill Text: TX SB1741 | 2019-2020 | 86th Legislature | Introduced
Bill Title: Relating to preauthorization by certain health benefit plan issuers of certain benefits.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2019-03-14 - Referred to Business & Commerce [SB1741 Detail]
Download: Texas-2019-SB1741-Introduced.html
86R12011 JES-F | ||
By: Menéndez | S.B. No. 1741 |
|
||
|
||
relating to preauthorization by certain health benefit plan issuers | ||
of certain benefits. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 1356.005, Insurance Code, is amended by | ||
adding Subsection (c) to read as follows: | ||
(c) A health benefit plan issuer that provides coverage | ||
under this section may not require preauthorization of a screening | ||
described by Subsection (a). | ||
SECTION 2. Section 1357.004, Insurance Code, is amended by | ||
adding Subsection (c) to read as follows: | ||
(c) A health benefit plan issuer that provides coverage | ||
under this section may not require preauthorization of a | ||
reconstruction, surgery, prostheses, or treatment described by | ||
Subsection (a). | ||
SECTION 3. Section 1357.054, Insurance Code, is amended by | ||
adding Subsection (c) to read as follows: | ||
(c) A health benefit plan issuer that provides coverage | ||
under this section may not require preauthorization for inpatient | ||
care described by Subsection (a). | ||
SECTION 4. Section 1358.054, Insurance Code, is amended by | ||
adding Subsection (c) to read as follows: | ||
(c) A health benefit plan issuer that provides coverage | ||
under this section may not require a qualified enrollee to obtain | ||
preauthorization for diabetes equipment, diabetes supplies, or | ||
self-management training described by Subsection (a). | ||
SECTION 5. Section 1361.003, Insurance Code, is amended to | ||
read as follows: | ||
Sec. 1361.003. COVERAGE REQUIRED. (a) A group health | ||
benefit plan must provide to a qualified enrollee coverage for | ||
medically accepted bone mass measurement to detect low bone mass | ||
and to determine the enrollee's risk of osteoporosis and fractures | ||
associated with osteoporosis. | ||
(b) A group health benefit plan issuer that provides | ||
coverage under this section may not require a qualified enrollee to | ||
obtain preauthorization for a bone mass measurement described by | ||
Subsection (a). | ||
SECTION 6. Section 1362.003, Insurance Code, is amended by | ||
adding Subsection (c) to read as follows: | ||
(c) A health benefit plan issuer that provides coverage | ||
under this section to an enrolled male may not require | ||
preauthorization of a diagnostic examination described by | ||
Subsection (a). | ||
SECTION 7. Section 1363.003, Insurance Code, is amended by | ||
adding Subsection (c) to read as follows: | ||
(c) A health benefit plan issuer that provides coverage | ||
under this section may not require preauthorization of a screening | ||
examination described by Subsection (a). | ||
SECTION 8. This Act applies only to a health benefit plan | ||
that is delivered, issued for delivery, or renewed on or after | ||
January 1, 2020. | ||
SECTION 9. This Act takes effect September 1, 2019. |