By Capelo H.B. No. 2868 A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to provision of certain information by a large employer 1-3 health insurance carrier to an insured large employer. 1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-5 SECTION 1. Subchapter H, Chapter 26, Insurance Code, is 1-6 amended by adding Article 26.96 to read as follows: 1-7 Art. 26.96. REPORTING OF CLAIMS INFORMATION. (a) This 1-8 article applies only to an insured large employer health benefit 1-9 plan. 1-10 (b) A large employer carrier, on written request from an 1-11 insured large employer covered by that carrier, shall report to the 1-12 employer information from the 12 months preceding the date of the 1-13 report regarding: 1-14 (1) the total amount of charges submitted to the 1-15 carrier for persons covered under the large employer health benefit 1-16 plan; 1-17 (2) the total amount of payments made by the carrier 1-18 to health care providers for persons covered under the plan; and 1-19 (3) to the extent available, information on claims 1-20 paid by type of health care provider, including the total hospital 1-21 charges, physician charges, pharmaceutical charges, and other 1-22 charges. 1-23 (c) A large employer carrier shall provide information 1-24 requested by a large employer under this article annually not later 2-1 than the 30th day before the anniversary or renewal date of the 2-2 employer's health benefit plan. 2-3 (d) Notwithstanding Subsection (c) of this article, a large 2-4 employer is not required to provide information under Subsection 2-5 (b) of this article earlier than the 30th day after the date of the 2-6 initial written request. 2-7 (e) A large employer carrier may not report any information 2-8 required under this article the release of which is prohibited by 2-9 federal law or regulation. 2-10 SECTION 2. This Act takes effect September 1, 1999, and 2-11 applies only to an insured large employer health benefit plan that 2-12 is delivered, issued for delivery, or renewed on or after January 2-13 1, 2000. A plan delivered, issued for delivery, or renewed before 2-14 January 1, 2000, is governed by the law as it existed immediately 2-15 before the effective date of this Act, and that law is continued in 2-16 effect for that purpose. 2-17 SECTION 3. The importance of this legislation and the 2-18 crowded condition of the calendars in both houses create an 2-19 emergency and an imperative public necessity that the 2-20 constitutional rule requiring bills to be read on three several 2-21 days in each house be suspended, and this rule is hereby suspended.