AN ACT 1-1 relating to implementing national standards for the electronic 1-2 processing of health care and health payment information. 1-3 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-4 SECTION 1. Subchapter B, Chapter 531, Government Code, is 1-5 amended by adding Sections 531.0315 and 531.0316 to read as 1-6 follows: 1-7 Sec. 531.0315. IMPLEMENTING NATIONAL ELECTRONIC DATA 1-8 INTERCHANGE STANDARDS FOR HEALTH CARE INFORMATION. (a) Each 1-9 health and human services agency and every other state agency that 1-10 acts as a health care provider or a claims payer for the provision 1-11 of health care shall: 1-12 (1) process information related to health care in 1-13 compliance with national data interchange standards adopted under 1-14 Subtitle F, Title II, Health Insurance Portability and 1-15 Accountability Act of 1996 (42 U.S.C. Section 1320d et seq.), and 1-16 its subsequent amendments, within the applicable deadline 1-17 established under federal law or federal regulations; or 1-18 (2) demonstrate to the commission the reasons the 1-19 agency should not be required to comply with Subdivision (1), and 1-20 obtain the commission's approval, to the extent allowed under 1-21 federal law: 1-22 (A) to comply with the standards at a later 1-23 date; or 1-24 (B) to not comply with one or more of the 2-1 standards. 2-2 (b) This section does not prohibit a state agency from 2-3 seeking a federal waiver from compliance under applicable federal 2-4 law. 2-5 Sec. 531.0316. HEALTH CLAIMS INFORMATION ON INTERNET. 2-6 (a) The commission and the Texas Health Care Information Council 2-7 shall develop a plan to make information about claims for the 2-8 provision of health care that are paid with state money and 2-9 information about other claims for the provision of health care 2-10 that is collected by the state available through the Internet, to 2-11 the extent that the information is not identifiable to any 2-12 individual. 2-13 (b) The commission and the council shall submit the plan to 2-14 the presiding officers of each house of the legislature not later 2-15 than November 1, 2000. 2-16 (c) This section expires September 1, 2001. 2-17 SECTION 2. Section 532.002, Government Code, is amended by 2-18 adding Subsection (c) to read as follows: 2-19 (c) The commission shall require by rule that each contract 2-20 to carry out the purposes of this chapter, whether entered into by 2-21 the commission, by a health and human services agency acting under 2-22 Section 532.004, or by an intergovernmental initiative, shall 2-23 require any contractor that will create, maintain, or process 2-24 information related to the provision of or payment for health care 2-25 to comply in a timely manner with the national data interchange 2-26 standards adopted under Subtitle F, Title II, Health Insurance 3-1 Portability and Accountability Act of 1996 (42 U.S.C. Section 1320d 3-2 et seq.), and its subsequent amendments. 3-3 SECTION 3. Section 109.061, Health and Safety Code, is 3-4 amended by adding Subsection (j) to read as follows: 3-5 (j) The corporation shall require eligible coverage 3-6 providers to comply in a timely manner, in connection with the 3-7 program, with the national data interchange standards adopted under 3-8 Subtitle F, Title II, Health Insurance Portability and 3-9 Accountability Act of 1996 (42 U.S.C. Section 1320d et seq.), and 3-10 its subsequent amendments. 3-11 SECTION 4. (a) The National Data Interchange Standards Task 3-12 Force is established to develop a coordinated strategy for the 3-13 state's implementation of the national data interchange standards 3-14 adopted under Subtitle F, Title II, Health Insurance Portability 3-15 and Accountability Act of 1996 (42 U.S.C. Section 1320d et seq.), 3-16 and its subsequent amendments. As part of developing the state's 3-17 strategy, the task force shall analyze the standards, the legal 3-18 requirements related to the standards, and the state's health care 3-19 payment or information systems in existence or under development. 3-20 (b) The National Data Interchange Standards Task Force is 3-21 composed of the administrative head of each of the following state 3-22 offices and agencies or the designee of the administrative head: 3-23 (1) the comptroller of public accounts of the State of 3-24 Texas; 3-25 (2) the Employees Retirement System of Texas; 3-26 (3) the Texas Department of Health; 4-1 (4) the Texas Health Care Information Council; 4-2 (5) the Health and Human Services Commission; 4-3 (6) the Texas Department of Human Services; 4-4 (7) the Texas Higher Education Coordinating Board; 4-5 (8) the Department of Information Resources; 4-6 (9) the Texas Department of Insurance; 4-7 (10) the Texas Department of Mental Health and Mental 4-8 Retardation; 4-9 (11) the Teacher Retirement System of Texas; 4-10 (12) the State Office of Risk Management; and 4-11 (13) the Texas Workers' Compensation Commission. 4-12 (c) The representative of the Health and Human Services 4-13 Commission is the presiding officer of the National Data 4-14 Interchange Standards Task Force. The Health and Human Services 4-15 Commission shall direct the analyses required under this section. 4-16 (d) The staff of each office and agency represented on the 4-17 National Data Interchange Standards Task Force may assist the task 4-18 force in performing its duties. 4-19 (e) The National Data Interchange Standards Task Force shall 4-20 periodically report the results and conclusions of its analyses and 4-21 recommend needed legislation to the legislature. 4-22 (f) The National Data Interchange Standards Task Force is 4-23 abolished September 1, 2005. 4-24 SECTION 5. The importance of this legislation and the 4-25 crowded condition of the calendars in both houses create an 4-26 emergency and an imperative public necessity that the 5-1 constitutional rule requiring bills to be read on three several 5-2 days in each house be suspended, and this rule is hereby suspended, 5-3 and that this Act take effect and be in force from and after its 5-4 passage, and it is so enacted. _______________________________ _______________________________ President of the Senate Speaker of the House I hereby certify that S.B. No. 1591 passed the Senate on May 6, 1999, by the following vote: Yeas 30, Nays 0. _______________________________ Secretary of the Senate I hereby certify that S.B. No. 1591 passed the House on May 22, 1999, by the following vote: Yeas 144, Nays 0, two present not voting. _______________________________ Chief Clerk of the House Approved: _______________________________ Date _______________________________ Governor