1-1  By:  Haley, Nelson                                     S.B. No. 458
    1-2        (In the Senate - Filed February 24, 1993; February 25, 1993,
    1-3  read first time and referred to Committee on Economic Development;
    1-4  May 11, 1993, reported adversely, with favorable Committee
    1-5  Substitute by the following vote:  Yeas 7, Nays 1; May 11, 1993,
    1-6  sent to printer.)
    1-7                            COMMITTEE VOTE
    1-8                          Yea     Nay      PNV      Absent 
    1-9        Parker             x                               
   1-10        Lucio              x                               
   1-11        Ellis              x                               
   1-12        Haley              x                               
   1-13        Harris of Dallas           x                       
   1-14        Harris of Tarrant  x                               
   1-15        Leedom                                         x   
   1-16        Madla              x                               
   1-17        Rosson             x                               
   1-18        Shapiro                                        x   
   1-19        Wentworth                                      x   
   1-20  COMMITTEE SUBSTITUTE FOR S.B. No. 458                    By:  Haley
   1-21                         A BILL TO BE ENTITLED
   1-22                                AN ACT
   1-23  relating to health insurance benefits for the treatment of certain
   1-24  bones and joints of the human body.
   1-25        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
   1-26        SECTION 1.  Article 21.53A, Insurance Code, is amended by
   1-27  adding Subsection (f) to read as follows:
   1-28        (f)  A health insurance policy or employee benefit plan
   1-29  providing benefits for routine dental services that is delivered,
   1-30  issued for delivery, renewed, amended, or otherwise contracted for
   1-31  in this state must offer coverage of nonsurgical treatment of the
   1-32  temporomandibular (jaw or craniomandibular) joints.
   1-33        SECTION 2.  This Act takes effect September 1, 1993, and
   1-34  applies only to a health insurance policy as defined by
   1-35  Article 21.53A, Insurance Code, as amended by this Act, a health
   1-36  care plan arranged for or provided by a health maintenance
   1-37  organization, or an employee benefit plan delivered, issued for
   1-38  delivery, or renewed in this state on or after January 1, 1994.  A
   1-39  policy or plan delivered, issued for delivery, or renewed before
   1-40  January 1, 1994, is governed by the law as it existed immediately
   1-41  before the effective date of this Act, and that law is continued in
   1-42  effect for that purpose.
   1-43        SECTION 3.  The importance of this legislation and the
   1-44  crowded condition of the calendars in both houses create an
   1-45  emergency and an imperative public necessity that the
   1-46  constitutional rule requiring bills to be read on three several
   1-47  days in each house be suspended, and this rule is hereby suspended.
   1-48                               * * * * *
   1-49                                                         Austin,
   1-50  Texas
   1-51                                                         May 11, 1993
   1-52  Hon. Bob Bullock
   1-53  President of the Senate
   1-54  Sir:
   1-55  We, your Committee on Economic Development to which was referred
   1-56  S.B. No. 458, have had the same under consideration, and I am
   1-57  instructed to report it back to the Senate with the recommendation
   1-58  that it do not pass, but that the Committee Substitute adopted in
   1-59  lieu thereof do pass and be printed.
   1-60                                                         Parker,
   1-61  Chairman
   1-62                               * * * * *
   1-63                               WITNESSES
   1-64                                                  FOR   AGAINST  ON
   1-65  ___________________________________________________________________
   1-66  Name:  Mazie M. Jamison                                  x
   1-67  Representing:  Kaiser Permanente
   1-68  City:  Dallas
    2-1  -------------------------------------------------------------------
    2-2  Name:  Sally Hanners                             x
    2-3  Representing:  Texas Dental Association
    2-4  City:  Austin
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    2-6  Name:  Jon Comola                                              x
    2-7  Representing:  Blue Cross
    2-8  City:  Austin
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   2-10  Name:  Rhonda Myron                                            x
   2-11  Representing:  Tex. Dept. of Insurance
   2-12  City:  Austin
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   2-14  Name:  Mark J. Hanna                             x
   2-15  Representing:  Texas Dental Association
   2-16  City:  Austin
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