By Burnam H.B. No. 3097
Line and page numbers may not match official copy.
Bill not drafted by TLC or Senate E&E.
A BILL TO BE ENTITLED
1-1 AN ACT
1-2 relating to parity in benefits.
1-3 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-4 SECTION 1. Subchapter E, Chapter 3, Insurance Code, is
1-5 amended by adding Art. 3.51-6E to read as follows:
1-6 Art. 3.51-6E. PARITY IN BENEFITS.
1-7 Sec. 1. A policy of group accident and health insurance or
1-8 blanket accident and health insurance as defined by Sections 1 and
1-9 2, Article 3.51-6, Insurance Code, an individual policy of accident
1-10 and sickness insurance as defined by Section 1(B)(3), Chapter 396,
1-11 Acts of the 54th Legislature, Regular Session, 1955 (Article
1-12 3.70-1, Vernon's Texas Insurance Code), or an evidence of coverage
1-13 as defined by the Texas Health Maintenance Organization Act
1-14 (Chapter 20A, Vernon's Texas Insurance Code), may not be delivered,
1-15 issued for delivery, or renewed in this state if the terms of the
1-16 policy or evidence of coverage exclude or reduce the payment of
1-17 benefits to or on behalf of an insured or enrollee because of a
1-18 mental illness, disease, or disorder, unless such exclusion or
1-19 limitation is equally applicable to all other physically disabling
1-20 conditions. A disability policy or plan shall provide parity in
1-21 benefits for mental and physical disabilities.
2-1 Sec. 2. A provision in a group accident and health insurance
2-2 or blanket accident and health insurance policy, an individual
2-3 accident and sickness insurance policy, or an evidence of coverage
2-4 that violates Section 1 of this article is void.
2-5 Sec. 3. VIOLATION; PENALTY. (a) A violation of this
2-6 article is an unfair and deceptive act or practice in the business
2-7 of insurance for purposes of Article 21.21 of this code and is
2-8 subject to the sanctions and penalties imposed under that article.
2-9 (b) Approval by the commissioner of the policy or product
2-10 form or other form used by the disability policy or plan issuer
2-11 under any law of this state, including Art. 3.42 of this code and
2-12 Section 9, Texas Health Maintenance Organization Act (Article
2-13 20A.09, Vernon's Texas Insurance Code), is not a defense to an
2-14 action brought under Article 21.21 of this code with respect to a
2-15 violation of this article.
2-16 SECTION 2. This Act takes effect September 1, 1999.
2-17 SECTION 3. This Act applies only to a disability policy or
2-18 plan that is delivered, issued for delivery, or renewed on or after
2-19 January 1, 2000. A disability policy or plan that is delivered,
2-20 issued for delivery, or renewed before January 1, 2000, is governed
2-21 by the law as it existed immediately before the effective date of
2-22 this Act, and that law is continued in effect for this purpose.
2-23 SECTION 4. The importance of this legislation and the
2-24 crowded condition of the calendars in both houses create an
2-25 emergency and an imperative public necessity that the
3-1 constitutional rule requiring bills to be read on three several
3-2 days in each house be suspended, and this rule is hereby suspended.