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
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  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.
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