S.B. No. 555
5-1 COMMITTEE AMENDMENT NO. 1
5-2 Amend S.B. 555 by striking Section 2, Texas Health
5-3 Maintenance Organization Act (Article 20A.02, Vernon's Texas
5-4 Insurance Code), Subsection (u).
5-5 Siebert
5-6 COMMITTEE AMENDMENT NO. 2
5-7 Amend S.B. 555 by adding a new section to Section 2 of the
5-8 bill to read as follows:
5-9 Section 2. Section 6, Texas Health Maintenance Organization
5-10 Act (Section 20A.06, Vernon's Texas Insurance Code) is amended by
5-11 adding a new Section (d) to read as follows:
5-12 (d) unless this section and the powers specified in section
5-13 (a) are specifically amended, no other law or rule shall be
5-14 construed to prohibit or restrict a group model health maintenance
5-15 organization from (1) selectively contracting with or declining to
5-16 contract with any or all providers as the health maintenance
5-17 organization deems necessary, (2) contracting for or declining to
5-18 contract for an individual health care service or full range of
5-19 health care services as the health maintenance organization deems
5-20 necessary provided that such service or services may be legally
5-21 provided by the contracting provider, or (3) requiring enrolled
5-22 members of the health maintenance organization who wish to obtain
5-23 the services covered by the health maintenance organization use the
5-24 providers specified by the health maintenance organization. As
5-25 used herein, a group model health maintenance organization is a
5-26 health maintenance organization which provides the majority of its
5-27 professional services through a single group medical practice and
6-1 such group medical practice is formally affiliated with the medical
6-2 school component of a Texas, state-supported, public college or
6-3 university.
6-4 Averitt