88R12488 LRM-D
 
  By: Martinez H.B. No. 3467
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to emergency medical services personnel and coverage by
  certain health benefit plans for treatment by emergency medical
  services personnel.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 773.003(10), Health and Safety Code, is
  amended to read as follows:
               (10)  "Emergency medical services personnel" means:
                     (A)  emergency care attendant;
                     (B)  emergency medical technicians;
                     (C)  advanced emergency medical technicians;
                     (D)  emergency medical technicians--paramedic;
  [or]
                     (E)  licensed paramedic;
                     (F)  community health paramedic;
                     (G)  paramedic practitioner; or
                     (H)  emergency medical services physician.
         SECTION 2.  Subchapter C, Chapter 773, Health and Safety
  Code, is amended by adding Sections 773.0497, 773.0498, and
  773.0499 to read as follows:
         Sec. 773.0497.  COMMUNITY HEALTH PARAMEDIC: QUALIFICATIONS
  AND LIST OF TRAINING PROGRAMS.  (a)  An individual qualifies as a
  community health paramedic if the individual:
               (1)  is licensed as a paramedic under this chapter; and
               (2)  completes a training program in community
  paramedicine that meets the curriculum requirements established by
  department rules.
         (b)  The department shall publish and maintain a public list
  of training programs that meet the minimum requirements for
  community health paramedic certification established by department
  rule.
         Sec. 773.0498.  PARAMEDIC PRACTITIONER QUALIFICATIONS. An
  individual qualifies as a paramedic practitioner if the individual:
               (1)  is licensed as a paramedic under this chapter; and
               (2)  either:
                     (A)  is a physician assistant licensed under
  Chapter 204, Occupations Code; or
                     (B)  is an advanced practice registered nurse
  licensed under Chapter 301, Occupations Code.
         Sec. 773.0499.  EMERGENCY MEDICAL SERVICES PHYSICIAN
  QUALIFICATIONS. An individual qualifies as an emergency medical
  services physician if the individual:
               (1)  is a physician licensed to practice medicine in
  this state; and
               (2)  is trained in emergency medical services.
         SECTION 3.  Subchapter B, Chapter 1201, Insurance Code, is
  amended by adding Section 1201.066 to read as follows:
         Sec. 1201.066.  COVERAGE FOR EMERGENCY MEDICAL SERVICES. An
  individual or group accident and health insurance policy that is
  delivered, issued for delivery, or renewed in this state, including
  a policy issued by a corporation operating under Chapter 842, or by
  a self-funded or self-insured welfare or benefit plan or program,
  to the extent that regulation of the plan or program is not
  preempted by federal law, that provides coverage for a child of an
  insured or group member, on payment of a premium, must provide
  coverage for:
               (1)  individuals who obtain emergency medical services
  by an emergency medical services physician or paramedic
  practitioner certified under Chapter 773, Health and Safety Code;
  and
               (2)  individuals who obtain services from a qualified
  health care professional by audio or audiovisual means while the
  individual is attended by emergency medical services personnel, as
  defined by Section 773.003, Health and Safety Code.
         SECTION 4.  (a)  As soon as practicable after the effective
  date of this Act, the executive commissioner of the Health and Human
  Services Commission shall adopt the rules necessary to implement
  the changes in law made by this Act.
         (b)  Section 1201.066, Insurance Code, as added by this Act,
  applies only to a health benefit plan delivered, issued for
  delivery, or renewed on or after January 1, 2024.
         SECTION 5.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2023.