By Maxey H.B. No. 1628 76R13495 PB-D A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to requiring a health insurer to provide certain 1-3 information to governmental entities with which the insurer 1-4 contracts. 1-5 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-6 SECTION 1. Subchapter E, Chapter 21, Insurance Code, is 1-7 amended by adding Article 21.49-15 to read as follows: 1-8 Art. 21.49-15. INFORMATION REQUIRED TO BE PROVIDED BY 1-9 INSURER TO GOVERNMENTAL ENTITY WITH WHICH INSURER CONTRACTS 1-10 Sec. 1. DEFINITIONS. In this article: 1-11 (1) "Governmental entity" means a state agency or 1-12 political subdivision of this state. 1-13 (2) "Insurer" means: 1-14 (A) an insurance company; 1-15 (B) a health maintenance organization operating 1-16 under the Texas Health Maintenance Organization Act (Chapter 20A, 1-17 Vernon's Texas Insurance Code); or 1-18 (C) an approved nonprofit health corporation 1-19 that holds a certificate of authority issued by the commissioner 1-20 under Article 21.52F of this code. 1-21 (3) "Political subdivision" means a county, 1-22 municipality, school district, special purpose district, or other 1-23 subdivision of state government that has jurisdiction limited to a 1-24 geographic portion of the state. 2-1 Sec. 2. REQUIRED INFORMATION. (a) Each insurer that enters 2-2 into a contract with a governmental entity that is subject to 2-3 competitive bidding requirements and under which the insurer 2-4 delivers, issues for delivery, or renews a policy or contract for 2-5 health insurance or an evidence of coverage shall provide to the 2-6 governmental entity a detailed report that includes: 2-7 (1) the claims experience of the governmental entity 2-8 during the preceding calendar year; and 2-9 (2) the dollar amount of each large claim, as defined 2-10 by the governmental entity, paid by the insurer under the contract 2-11 during the preceding calendar year. 2-12 (b) Claim information provided by an insurer to the 2-13 governmental entity under this section: 2-14 (1) shall be provided in the aggregate, without 2-15 information through which a specific individual covered by the 2-16 health insurance or evidence of coverage may be identified; 2-17 (2) may be viewed or used only for contract bidding 2-18 purposes; and 2-19 (3) is confidential for purposes of Chapter 552, 2-20 Government Code. 2-21 SECTION 2. Article 21.49-15, Insurance Code, as added by 2-22 this Act, applies only to a contract entered into on or after the 2-23 effective date of this Act. A contract entered into before that 2-24 date is governed by the law as it existed immediately before the 2-25 effective date of this Act, and that law is continued in effect for 2-26 that purpose. 2-27 SECTION 3. This Act takes effect September 1, 1999. 3-1 SECTION 4. The importance of this legislation and the 3-2 crowded condition of the calendars in both houses create an 3-3 emergency and an imperative public necessity that the 3-4 constitutional rule requiring bills to be read on three several 3-5 days in each house be suspended, and this rule is hereby suspended.