Amend HB 1562, on page 3, by striking lines 19-27 and
inserting the following:
      Art. 3.97-3.  INSURER ANTIFRAUD PLANS. (a)  An insurer shall
adopt an antifraud plan under this article.  The insurer may
annually file that plan with the insurance fraud unit.  The plan
must include:
            (1)  a description of the insurer's procedures for
detecting and investigating possible fraudulent insurance acts; and
            (2)  a description of the insurer's procedures for
reporting possible fraudulent insurance acts to the insurance fraud
unit.
      (b)  If an insurer participating in the STAR or STAR plus
Medicaid program cite, or the state child health plan under
Chapter 62, Health and Safety Code, has in place a fraud and abuse
plan approved by a health and human services agency, such plan
shall be deemed to meet the requirements of this subchapter.  If
such insurer is required by law to report possible fraudulent
insurance acts to a health and human services agency and/or the
Office of Attorney General, such insurer shall not be required to
also report such acts to the insurance fraud unit.
      (c)  The health and human services agencies, the Office of
Attorney General and the insurance fraud unit shall coordinate
enforcement efforts relating to acts covered by this subchapter
that occur in relation to state Medicaid program or state child
health plan program.