By Carona                                             S.R. No. 1141
         76R17463 DLF-D                           
                                 R E S O L U T I O N
 1-1           BE IT RESOLVED by the Senate of the State of Texas, 76th
 1-2     Legislature, Regular Session, 1999, That Senate Rule 12.03 be
 1-3     suspended in part as provided by Senate Rule 12.08 to enable the
 1-4     conference committee appointed to resolve the differences on House
 1-5     Bill No. 610, relating to health care providers under certain
 1-6     health benefit plans, to consider and take action on the following
 1-7     matters:
 1-8           1.  Senate Rule 12.03(1) is suspended to permit the committee
 1-9     to change the text of Section 18B(d), Texas Health Maintenance
1-10     Organization Act (Chapter 20A, Vernon's Texas Insurance Code), in
1-11     SECTION 1 of the bill, so that the subsection reads as follows:
1-12           (d)  If a prescription benefit claim is electronically
1-13     adjudicated and electronically paid, and the health maintenance
1-14     organization or its designated agent authorizes treatment, the
1-15     claim must be paid not later than the 21st day after the treatment
1-16     is authorized.
1-17           Explanation: This change is necessary to clarify that the
1-18     subsection applies to prescription benefit claims that are both
1-19     electronically adjudicated and paid and that payment of the claims
1-20     must be made not later than the 21st day after a specified date.
1-21           2.  Senate Rule 12.03(1) is suspended to permit the committee
1-22     to change the text of Section 3A(d), Article 3.70-3C, Insurance
1-23     Code, as added by Chapter 1024, Acts of the 75th Legislature,
1-24     Regular Session, 1997, in SECTION 2 of the bill, so that the
 2-1     subsection reads as follows:
 2-2           (d)  If a prescription benefit claim is electronically
 2-3     adjudicated and electronically paid, and the preferred provider or
 2-4     its designated agent authorizes treatment, the claim must be paid
 2-5     not later than the 21st day after the treatment is authorized.
 2-6           Explanation: This change is necessary to clarify that the
 2-7     subsection applies to prescription benefit claims that are both
 2-8     electronically adjudicated and paid and that payment of the claims
 2-9     must be made not later than the 21st day after a specified date.