By Zaffirini                                          S.B. No. 1591
         76R7530 JRD-D                           
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to implementing national standards for the electronic
 1-3     processing of health care and health payment information.
 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-5           SECTION 1.  Subchapter C, Chapter 2054, Government Code, is
 1-6     amended by adding Sections 2054.0542 and 2054.0543 to read as
 1-7     follows:
 1-8           Sec. 2054.0542.  IMPLEMENTING NATIONAL ELECTRONIC DATA
 1-9     INTERCHANGE STANDARDS FOR HEALTH CARE INFORMATION.  Each health and
1-10     human services agency, as defined by Section 531.001, and every
1-11     other state agency that acts as a health care provider or a claims
1-12     payer for the provision of health care shall:
1-13                 (1)  process information related to health care in
1-14     compliance with national data interchange standards adopted under
1-15     Subtitle F, Title II, Health Insurance Portability and
1-16     Accountability Act of 1996 (42 U.S.C. Section 1320d et seq.), and
1-17     its subsequent amendments, within two years after the date the
1-18     standards are adopted; or
1-19                 (2)  demonstrate to the department the reasons the
1-20     agency should not be required to comply with Subdivision (1) and
1-21     obtain the department's approval:
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           Sec. 2054.0543.  HEALTH CLAIMS INFORMATION ON INTERNET.  (a)
 2-3     The department and the Texas Health Care Information Council shall
 2-4     develop a plan to make information about claims for the provision
 2-5     of health care that are paid with state money and information about
 2-6     other claims for the provision of health care that is collected by
 2-7     the state available through the Internet, to the extent that the
 2-8     information is not identifiable to any individual.
 2-9           (b)  The department and the council shall submit the plan to
2-10     the presiding officers of each house of the legislature not later
2-11     than November 1, 2000.
2-12           (c)  This section expires September 1, 2001.
2-13           SECTION 2.  Section 532.002, Government Code, is amended by
2-14     adding Subsection (c) to read as follows:
2-15           (c)  The commission shall require by rule that each contract
2-16     to carry out the purposes of this chapter, whether entered into by
2-17     the commission, by a health and human services agency acting under
2-18     Section 532.004, or by an intergovernmental initiative, shall
2-19     require any contractor that will create, maintain, or process
2-20     information related to the provision of or payment for health care
2-21     to comply in a timely manner with the national data interchange
2-22     standards adopted under Subtitle F, Title II, Health Insurance
2-23     Portability and Accountability Act of 1996 (42 U.S.C. Section 1320d
2-24     et seq.), and its subsequent amendments.
2-25           SECTION 3.  Section 109.061, Health and Safety Code, is
2-26     amended by adding Subsection (j) to read as follows:
2-27           (j)  The corporation shall require eligible coverage
 3-1     providers to comply in a timely manner, in connection with the
 3-2     program, with the national data interchange standards adopted under
 3-3     Subtitle F, Title II, Health Insurance Portability and
 3-4     Accountability Act of 1996 (42 U.S.C. Section 1320d et seq.), and
 3-5     its subsequent amendments.
 3-6           SECTION 4.  (a)  The National Data Interchange Standards Task
 3-7     Force is established to develop a coordinated strategy for the
 3-8     state's implementation of the national data interchange standards
 3-9     adopted under Subtitle F, Title II, Health Insurance Portability
3-10     and Accountability Act of 1996 (42 U.S.C. Section 1320d et seq.),
3-11     and its subsequent amendments.  As part of developing the state's
3-12     strategy, the task force shall analyze the standards, the legal
3-13     requirements related to the standards, and the state's health care
3-14     payment or information systems in existence or under development.
3-15           (b)  The task force is composed of the administrative head of
3-16     each of the following state offices and agencies or the designee of
3-17     the administrative head:
3-18                 (1)  the comptroller;
3-19                 (2)  the Employees Retirement System of Texas;
3-20                 (3)  the Texas Department of Health;
3-21                 (4)  the Texas Health Care Information Council;
3-22                 (5)  the Health and Human Services Commission;
3-23                 (6)  the Texas Department of Human Services;
3-24                 (7)  the Texas Higher Education Coordinating Board;
3-25                 (8)  the Department of Information Resources;
3-26                 (9)  the Texas Department of Insurance;
3-27                 (10)  the Texas Department of Mental Health and Mental
 4-1     Retardation;
 4-2                 (11)  the Teacher Retirement System; and
 4-3                 (12)  the Texas Workers' Compensation Commission.
 4-4           (c)  The representative of the Department of Information
 4-5     Resources is the presiding officer of the task force.  The
 4-6     Department of Information Resources shall direct the analyses
 4-7     required under this section.
 4-8           (d)  The staff of each office and agency represented on the
 4-9     task force may assist the task force in performing its duties.
4-10           (e)  The task force shall periodically report the results and
4-11     conclusions of its analyses and recommend needed legislation to the
4-12     legislature.
4-13           (f)  The task force is abolished September 1, 2005.
4-14           SECTION 5.  The importance of this legislation and the
4-15     crowded condition of the calendars in both houses create an
4-16     emergency and an imperative public necessity that the
4-17     constitutional rule requiring bills to be read on three several
4-18     days in each house be suspended, and this rule is hereby suspended,
4-19     and that this Act take effect and be in force from and after its
4-20     passage, and it is so enacted.