Amend CSHB 1700 as follows:
(1) On page 1, line 19, strike the second "or" and
substitute "for illness or injury".
(2) On page 1, strike lines 20-24.
(3) On page 2, line 1, strike "debilitation" and substitute
"<or intervention that has a significant recovery period, presents
a significant risk, employs a general anesthetic, or, in the
opinion of the primary physician, involves a significant invasion
of bodily integrity that requires the extraction of bodily fluids
or an incision or that produces substantial pain, discomfort, or
debilitation>".
(4) On page 2, line 2, strike "substantially similar
<comparable>" and substitute "comparable".
(5) On page 2, strike lines 5-19 and substitute the
following:
Code). The board of trustees of the Teacher Retirement System of
Texas shall adopt rules to determine whether a school district's
group health coverage is comparable to the basic health coverage
specified by this subsection. The rules must provide for
consideration of the following factors concerning the district's
coverage in determining whether the district's coverage is
comparable to the basic health coverage specified by this
subsection:
(1) the deductible amount for service provided inside
and outside of the network;
(2) the coinsurance percentages for service provided
inside and outside of the network;
(3) the maximum amount of coinsurance payments a
covered person is required to pay;
(4) the cost of coverage;
(5) the amount of the copayment for an office visit;
(6) the schedule of benefits and the scope of
coverage;
(7) the lifetime maximum benefit amount; and
(8) verification that the coverage is issued by a
provider licensed to do business in this state by the Texas
Department of Insurance or that a district is capable of covering
the assumed liabilities in the case of coverage provided through
district self-insurance.
(6) On page 2, line 21, strike "to the extent authorized
under Subsection (a)".
(7) On page 3, strike lines 11 and 12 and substitute the
following:
(3) the premium rate sheet, including the amount paid
by the district and employees;
(4) the number of employees covered by each health
coverage plan offered by the district; and
(8) On page 3, line 13, strike "(4)" and substitute "(5)".
(9) On page 3, line 17, strike "substantially similar" and
substitute "comparable".
(10) On page 3, line 22, strike "substantially similar" and
substitute "comparable".
(11) On page 3, line 27, between "based on" and "the
certification", insert "the report submitted by the school
district and".