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               A BILL TO BE ENTITLED
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               AN ACT
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            relating to a study by the Teacher Retirement System of Texas  | 
         
         
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            regarding the use of health reimbursement accounts in conjunction  | 
         
         
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            with Medicare plans available through the individual marketplace to  | 
         
         
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            provide health and pharmacy benefit coverage for certain retired  | 
         
         
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            school employees. | 
         
         
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                   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | 
         
         
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                   SECTION 1.  STUDY.  (a) The Teacher Retirement System of  | 
         
         
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            Texas shall conduct a study to evaluate the use of health  | 
         
         
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            reimbursement accounts in conjunction with Medicare plans  | 
         
         
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            available through the individual marketplace as a means to provide  | 
         
         
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            health and pharmacy benefit coverage under Chapter 1575, Insurance  | 
         
         
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            Code, for Medicare-eligible retired school employees and their  | 
         
         
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            spouses. | 
         
         
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                   (b)  The evaluation must consider: | 
         
         
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                         (1)  using claims experience and premium data from the  | 
         
         
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            most recent two years, the affordability and availability of  | 
         
         
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            Medicare plans available through the individual marketplace to  | 
         
         
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            Medicare-eligible retirees and their spouses compared to health  | 
         
         
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            benefit plans available to those retirees and their spouses under  | 
         
         
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            Chapter 1575, Insurance Code; | 
         
         
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                         (2)  provider availability under Medicare plans  | 
         
         
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            available through the individual marketplace; and | 
         
         
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                         (3)  any other items the Teacher Retirement System of  | 
         
         
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            Texas determines are relevant to the system's long-term ability to  | 
         
         
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            provide health and pharmacy benefits to Medicare-eligible retirees  | 
         
         
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            and their spouses considering the demographic, geographic, and  | 
         
         
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            socioeconomic characteristics of the Medicare-eligible retirees  | 
         
         
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            and spouses participating in the group program under Chapter 1575,  | 
         
         
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            Insurance Code. | 
         
         
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                   (c)  In conducting the study under this section, the Teacher  | 
         
         
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            Retirement System of Texas: | 
         
         
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                         (1)  may contract or collaborate with entities having  | 
         
         
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            industry-leading expertise and experience in the individual  | 
         
         
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            marketplace; and | 
         
         
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                         (2)  shall invite comment and input from interested  | 
         
         
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            stakeholders, including active and retired school employees. | 
         
         
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                   SECTION 2.  REPORT.  Not later than December 1, 2021, the  | 
         
         
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            Teacher Retirement System of Texas shall submit to the governor,  | 
         
         
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            lieutenant governor, speaker of the house of representatives, and  | 
         
         
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            Legislative Budget Board a written report of the study conducted  | 
         
         
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            under Section 1 of this Act. The report must include the findings  | 
         
         
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            and legislative recommendations of the Teacher Retirement System of  | 
         
         
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            Texas. | 
         
         
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                   SECTION 3.  EXPIRATION DATE.  This Act expires January 1,  | 
         
         
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            2023. | 
         
         
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                   SECTION 4.  EFFECTIVE DATE.  This Act takes effect  | 
         
         
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            immediately if it receives a vote of two-thirds of all the members  | 
         
         
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            elected to each house, as provided by Section 39, Article III, Texas  | 
         
         
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            Constitution. If this Act does not receive the vote necessary for  | 
         
         
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            immediate effect, this Act takes effect September 1, 2021. | 
         
         
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            * * * * * |