R E S O L U T I O N
1-1 BE IT RESOLVED by the House of Representatives of the State
1-2 of Texas, 76th Legislature, Regular Session, 1999, That House Rule
1-3 13, Section 9(a), be suspended in part as provided by House Rule
1-4 13, Section 9(f), to enable the conference committee appointed to
1-5 resolve the differences on House Bill No. 610, relating to health
1-6 care providers under certain health benefit plans, to consider and
1-7 take action on the following matter:
1-8 1. House Rule 13, Section 9(a)(1) is suspended to permit the
1-9 committee to change the text of Section 18B(d), Texas Health
1-10 Maintenance Organization Act (Chapter 20A, Vernon's Texas Insurance
1-11 Code), in SECTION 1 of the bill, so that the subsection reads as
1-12 follows:
1-13 (d) If a prescription benefit claim is electronically
1-14 adjudicated and electronically paid, and the health maintenance
1-15 organization or its designated agent authorizes treatment, the
1-16 claim must be paid not later than the 21st day after the treatment
1-17 is authorized.
1-18 Explanation: This change is necessary to clarify that the
1-19 subsection applies to prescription benefit claims that are both
1-20 electronically adjudicated and paid and that payment of the claims
1-21 must be made not later than the 21st day after a specified date.
1-22 2. House Rule 13, Section 9(a)(1) is suspended to permit the
1-23 committee to change the text of Section 3A(d), Article 3.70-3C,
1-24 Insurance Code, as added by Chapter 1024, Acts of the 75th
2-1 Legislature, Regular Session, 1997, in SECTION 2 of the bill, so
2-2 that the subsection reads as follows:
2-3 (d) If a prescription benefit claim is electronically
2-4 adjudicated and electronically paid, and the preferred provider or
2-5 its designated agent authorizes treatment, the claim must be paid
2-6 not later than the 21st day after the treatment is authorized.
2-7 Explanation: This change is necessary to clarify that the
2-8 subsection applies to prescription benefit claims that are both
2-9 electronically adjudicated and paid and that payment of the claims
2-10 must be made not later than the 21st day after a specified date.
Janek
_______________________________
Speaker of the House
I certify that H.R. No. 1215 was adopted by the House on May
26, 1999, by a non-record vote.
_______________________________
Chief Clerk of the House