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A BILL TO BE ENTITLED
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AN ACT
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relating to the application of balance billing prohibitions and |
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out-of-network dispute resolution procedures to certain |
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self-insured or self-funded employee welfare benefit plans. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 1275.002, Insurance Code, is amended to |
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read as follows: |
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Sec. 1275.002. APPLICABILITY OF CHAPTER. This chapter |
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applies only to: |
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(1) a health benefit plan offered by a nonprofit |
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agricultural organization under Chapter 1682; and |
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(2) a health benefit plan: |
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(A) that is a self-insured or self-funded plan |
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established by an employer for the benefit of the employer's |
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employees in accordance with the Employee Retirement Income |
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Security Act of 1974 (29 U.S.C. Section 1001 et seq.); and |
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(B) for which the plan sponsor has made an |
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election, submitted to the commissioner in the form and manner |
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prescribed by the commissioner, to apply this chapter to the plan |
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for the relevant plan year. |
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SECTION 2. Not later than December 1, 2023, the |
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commissioner of insurance shall adopt rules necessary to implement |
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the change in law made by this Act. |
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SECTION 3. This Act takes effect September 1, 2023. |