SRC-CTC, MWN S.B. 544 77(R) BILL ANALYSIS Senate Research Center S.B. 544 77R3069 AJA-DBy: Brown, J. E. "Buster" Business & Commerce 2/27/2001 As Filed DIGEST AND PURPOSE Currently, the requirement for health maintenance organizations (HMOs) to cover health risk assessment screenings is found in the Administrative Code but is not a statutory requirement. As proposed, S.B. 544 mandates, by statute, that HMOs include periodic health evaluations for each adult enrollee in the basic health care services provided under certain coverage. RULEMAKING AUTHORITY This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency. SECTION BY SECTION ANALYSIS SECTION 1. Amends Chapter 20A, Insurance Code, (The Texas Health Maintenance Organization Act) by adding Section 9B, as follows: Sec. 9B. PERIODIC HEALTH EVALUATIONS REQUIRED. Requires the basic health care services provided under an evidence of coverage to include periodic health evaluations for each adult enrollee. Requires the services provided under this section to include a health risk assessment at least once every three years and, for a female enrollee, an annual well-woman examination provided in accordance with Article 21.53D of this code, as added by Chapter 912 (Access to Obstetrical or Gynecological Health Care), Acts of the 75th Legislature, Regular Session, 1997. Provides that this section does not apply to an evidence of coverage for limited health care service plan or a single health care service plan. SECTION 2. Effective date: September 1, 2001. Makes application of this Act prospective to January 1, 2002.