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Enrolled Bill Summary

Enrolled Bill Summary

Legislative Session: 76(R)

SENATE BILL 1248

SENATE AUTHOR: Nelson

EFFECTIVE: 9-1-99

HOUSE SPONSOR: Maxey

            Senate Bill 1248 amends the Human Resources Code to increase the amount of information a health insurer maintains for each subscriber or policyholder it covers under the state Medicaid program. The act provides that a plan administrator is subject to certain requirements regarding identification of Medicaid recipients with third-party health care coverage and that the insurers be reimbursed for necessary and reasonable costs incurred in providing identification information. It provides for the imposition of an administrative penalty on health insurers and plan administrators failing to comply with an information request and provides certain measures for enforcement of the penalty. It also provides for a report to the legislature relating to third-party Medicaid recoveries.