Amend CSSB 130, committee report printing, by striking
Section 7A, Article 3.70-3C, Insurance Code, as added by SECTION 1
of the bill (page 1, lines 16-39, of the committee report
printing), and substituting the following:
      Sec. 7A.  RESTRICTIONS ON PAYMENT AND REIMBURSEMENT. (a)
Except as provided by Subsection (b) of this section, an insurer or
third party administrator may not reimburse a physician,
practitioner, hospital, institutional provider, or organization of
physicians and health care providers on a discounted fee basis for
covered services that are provided to an insured unless:
            (1)  the insurer or third party administrator has
contracted with the physician, practitioner, hospital,
institutional provider, or organization of physicians and health
care providers;
            (2)  the physician, practitioner, hospital,
institutional provider, or organization of physicians and health
care providers has agreed to the contract and has agreed to provide
health care services under the terms of the contract; and
            (3)  the insurer or third party administrator has
agreed to provide coverage for those health care services under the
health insurance policy.
      (b)  A party to a preferred provider contract may not sell,
lease, or otherwise transfer information regarding the payment or
reimbursement terms of the contract without the express authority
and prior adequate notification of the other contracting parties.
This subsection does not affect the  commissioner's authority under
this code to request and obtain information.
      (c)  An insurer or third party administrator who violates
this section commits an unfair act or deceptive practice in
violation of Articles 21.21 and 21.21-2 of this code.