By: Danburg H.B. No. 164
73R1307 PB-D
A BILL TO BE ENTITLED
1-1 AN ACT
1-2 relating to mandatory health insurance coverage for certain medical
1-3 examinations.
1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-5 SECTION 1. Article 3.51-6, Insurance Code, is amended by
1-6 adding Section 3F to read as follows:
1-7 Sec. 3F. COVERAGE FOR CERTAIN MEDICAL EXAMINATIONS. (a) In
1-8 this section, "health insurance policy" means a group policy or
1-9 contract, including a group contract issued by a company subject to
1-10 Chapter 20, Insurance Code, that provides coverage for hospital,
1-11 surgical, or medical expenses incurred as a result of accident or
1-12 sickness.
1-13 (b) A health insurance policy that provides coverage for
1-14 primary care medical examinations and related diagnostic procedures
1-15 must provide coverage for a Pap smear performed as part of a
1-16 gynecological examination.
1-17 SECTION 2. Section 2, Chapter 397, Acts of the 54th
1-18 Legislature, Regular Session, 1955 (Article 3.70-2, Vernon's Texas
1-19 Insurance Code), is amended by adding Subsection (N) to read as
1-20 follows:
1-21 (N) An individual or group policy of accident and sickness
1-22 insurance that is delivered, issued for delivery, or renewed in
1-23 this state, including a policy issued by a company subject to
1-24 Chapter 20, Insurance Code, and evidence of coverage issued by a
2-1 health maintenance organization subject to the Texas Health
2-2 Maintenance Organization Act (Chapter 20A, Vernon's Texas Insurance
2-3 Code), that provides coverage for primary care medical examinations
2-4 and related diagnostic procedures must provide coverage for a Pap
2-5 smear performed as part of a gynecological examination.
2-6 SECTION 3. This Act takes effect September 1, 1993, and
2-7 applies only to a policy or evidence of coverage delivered, issued
2-8 for delivery, or renewed on or after January 1, 1994. A policy or
2-9 evidence of coverage delivered, issued for delivery, or renewed
2-10 before January 1, 1994, is governed by the law as it existed
2-11 immediately before the effective date of this Act, and that law is
2-12 continued in effect for that purpose.
2-13 SECTION 4. The importance of this legislation and the
2-14 crowded condition of the calendars in both houses create an
2-15 emergency and an imperative public necessity that the
2-16 constitutional rule requiring bills to be read on three several
2-17 days in each house be suspended, and this rule is hereby suspended.