By:  Shapleigh                                         S.B. No. 389
         2001S0217/3                            
                                A BILL TO BE ENTITLED
 1-1                                   AN ACT
 1-2     relating to the establishment and funding of a statewide group
 1-3     insurance program for employees and retirees of certain public
 1-4     schools.
 1-5           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 1-6           SECTION 1.  Title 1, Insurance Code, is amended by adding
 1-7     Chapter 3A to read as follows:
 1-8              CHAPTER 3A.  TEXAS SCHOOL EMPLOYEES UNIFORM GROUP
 1-9                           INSURANCE BENEFITS ACT
1-10                      SUBCHAPTER A.  GENERAL PROVISIONS
1-11           Art. 3A.001.  SHORT TITLE.  This chapter may be cited as the
1-12     Texas School Employees Uniform Group Insurance Benefits Act.
1-13           Art. 3A.002.  DEFINITIONS.  In this chapter:
1-14                 (1)  "Administering firm" means any firm designated by
1-15     the board of trustees to administer any coverage, service, benefit,
1-16     or requirement under this chapter and the board of trustees' rules
1-17     adopted under this chapter.
1-18                 (2)  "Board of trustees" means the board of trustees of
1-19     the Teacher Retirement System of Texas.
1-20                 (3)  "Cafeteria plan" means a plan as defined and
1-21     authorized by Section 125, Internal Revenue Code of 1986 (26 U.S.C.
1-22     Section 125), as amended.
1-23                 (4)  "Employee" means an individual who:
1-24                       (A)  is a member of the system;
1-25                       (B)  is employed by a school district or another
 2-1     entity that receives allotments under the foundation school program
 2-2     and:
 2-3                             (i)  the school district or other entity
 2-4     participates in the program; or
 2-5                             (ii)  the individual pays premiums to
 2-6     participate in the group program in accordance with Article 3A.102
 2-7     of this code; and
 2-8                       (C)  is not a direct participant in a group
 2-9     insurance program under the Texas Employees Uniform Group Insurance
2-10     Benefits Act (Article 3.50-2, Vernon's Texas Insurance Code) or the
2-11     Texas State College and University Employees Uniform Insurance
2-12     Benefits Act (Article 3.50-3, Vernon's Texas Insurance Code).
2-13                 (5)  "Employer" means a school district or an
2-14     institution of higher education as defined by Section 61.003,
2-15     Education Code, that employs one or more employees as defined by
2-16     Subdivision (4) of this article.
2-17                 (6)  "Group program" means the Texas school employees
2-18     group insurance program authorized by this chapter.
2-19                 (7)  "Health benefits plan" means a group insurance
2-20     policy or contract, medical, dental, or hospital service agreement,
2-21     membership or subscription contract, salary continuation plan,
2-22     health maintenance organization agreement, preferred provider
2-23     arrangement, or any similar group arrangement or any combination of
2-24     those policies, plans, contracts, agreements, or arrangements to
2-25     provide, pay for, or reimburse expenses for health care services,
2-26     including comparable health care services for employees and
 3-1     retirees who rely solely on spiritual means through prayer for
 3-2     healing in accordance with the teaching of a recognized church or
 3-3     denomination.
 3-4                 (8)  "Optional insurance fund" means the school
 3-5     employees optional insurance fund created under Article 3A.202 of
 3-6     this chapter.
 3-7                 (9)  "Plan provider" means an insurance company, group
 3-8     hospital service corporation, health maintenance organization, or
 3-9     other entity authorized by the department under this code to
3-10     provide any insurance coverage, benefit, or service provided by
3-11     this chapter.
3-12                 (10)  "Primary health plan" means the health benefits
3-13     plan determined by the board of trustees in which each full-time
3-14     employee and each retiree participates automatically unless
3-15     participation is specifically waived.
3-16                 (11)  "Primary health fund" means the school employees
3-17     primary health coverage fund described under Article 3A.201 of this
3-18     chapter.
3-19                 (12)  "Program participant" means an employee or a
3-20     retiree who participates in the group program.
3-21                 (13)  "School district" means a political subdivision
3-22     organized to provide general elementary or secondary public
3-23     education, including an open-enrollment charter school that has
3-24     been granted a charter under Subchapter D, Chapter 12, Education
3-25     Code.  The term does not include any state agency, a junior college
3-26     district, a special-purpose school district established under
 4-1     Section 11.351, Education Code, or the Windham School District
 4-2     established under Section 19.002, Education Code.
 4-3                 (14)  "System" means the Teacher Retirement System of
 4-4     Texas.
 4-5           Art. 3A.003.  DEFINITION OF DEPENDENT AND RELATED TERMS.  In
 4-6     this chapter:
 4-7                 (1)  "Dependent" means:
 4-8                       (A)  the spouse of a program participant;
 4-9                       (B)  an unmarried child of a program participant
4-10     or deceased employee if that child is under 25 years of age,
4-11     including:
4-12                             (i)  an adopted child;
4-13                             (ii)  a stepchild, foster child, or other
4-14     child who has a regular parent-child relationship with the program
4-15     participant; or
4-16                             (iii)  a recognized natural child;
4-17                       (C)  a person who is a program participant's
4-18     recognized natural child, adopted child, foster child, stepchild,
4-19     or other child who has a regular parent-child relationship with the
4-20     program participant, without regard to the age of the person, if
4-21     the person:
4-22                             (i)  lives with or has care provided by the
4-23     program participant or surviving spouse on a regular basis; and
4-24                             (ii)  is mentally retarded or physically
4-25     incapacitated to an extent that the person is dependent on the
4-26     program participant or surviving spouse for care or support, as
 5-1     determined by the board of trustees; or
 5-2                       (D)  a person who is a deceased employee's
 5-3     recognized natural child, adopted child, foster child, stepchild,
 5-4     or other child who had a regular parent-child relationship with the
 5-5     deceased employee, without regard to the age of the person, if
 5-6     while the employee was alive, the person:
 5-7                             (i)  lived with or had care provided by the
 5-8     deceased employee on a regular basis; and
 5-9                             (ii)  was mentally retarded or physically
5-10     incapacitated to an extent that the person was dependent on the
5-11     deceased employee or surviving spouse for care or support, as
5-12     determined by the board of trustees.
5-13                 (2)  "Surviving dependent child" means:
5-14                       (A)  the dependent child of a deceased retiree
5-15     who has survived the deceased retiree and the deceased retiree's
5-16     spouse; or
5-17                       (B)  the dependent child of a deceased employee
5-18     who has survived the deceased employee and the deceased employee's
5-19     spouse if the deceased employee had 10 or more years of actual
5-20     service credit in the system.
5-21                 (3)  "Surviving spouse" means:
5-22                       (A)  the surviving spouse of a deceased retiree;
5-23     or
5-24                       (B)  the surviving spouse of a deceased employee
5-25     who had 10 or more years of actual service credit in the system.
5-26           Art. 3A.004.  DEFINITION OF RETIREE.  In this chapter,
 6-1     "retiree" means an individual who:
 6-2                 (1)  retired under the system with at least 10 years of
 6-3     credit for actual service for an employer or has retired under the
 6-4     system for disability and is entitled to receive an annuity from
 6-5     the system under Section 824.304(b), Government Code; and
 6-6                 (2)  is not eligible to directly participate in the
 6-7     group insurance program provided under the Texas Employees Uniform
 6-8     Group Insurance Benefits Act (Article 3.50-2, Vernon's Texas
 6-9     Insurance Code) or the Texas State College and University Employees
6-10     Uniform Insurance Benefits Act (Article 3.50-3, Vernon's Texas
6-11     Insurance Code).
6-12           Art. 3A.005.  EXEMPTION FROM PROCESS.  (a)  The following are
6-13     exempt from execution, attachment, garnishment, or any other
6-14     process:
6-15                 (1)  any contribution or benefit payment under this
6-16     chapter;
6-17                 (2)  any right, benefit, or payment accruing to any
6-18     person under this chapter; and
6-19                 (3)  any money in any fund administered under this
6-20     chapter.
6-21           (b)  The items listed in Subsection (a) of this article may
6-22     not be assigned except for direct payment to benefit providers as
6-23     authorized by the board of trustees by contract or rule.
6-24           Art. 3A.006.  EXEMPTION FROM STATE TAXES AND FEES.  A premium
6-25     or contribution on a policy, insurance contract, or agreement
6-26     authorized by this chapter is not subject to any state tax,
 7-1     regulatory fee, or surcharge, including a contribution or
 7-2     maintenance tax or fee.
 7-3           Art. 3A.007.  APPLICABILITY OF OTHER LAW.  This chapter does
 7-4     not prohibit a school district from providing additional or
 7-5     supplemental insurance coverage under Article 3.51 or 26.036 of
 7-6     this code or Section 22.005, Education Code.
 7-7            SUBCHAPTER B.  POWERS AND DUTIES OF BOARD OF TRUSTEES
 7-8           Art. 3A.051.  ADMINISTRATION.  (a)  The board of trustees is
 7-9     the trustee for the group program and shall administer the group
7-10     program.
7-11           (b)  The board of trustees may adopt rules, plans,
7-12     procedures, and orders reasonably necessary to implement this
7-13     chapter, including:
7-14                 (1)  minimum benefit and financing standards for group
7-15     coverage for program participants, dependents, surviving spouses,
7-16     and surviving dependent children;
7-17                 (2)  primary health coverage and optional insurance
7-18     coverage for program participants, dependents, surviving spouses,
7-19     and surviving dependent children;
7-20                 (3)  procedures for contributions and deductions,
7-21     including annuity or payroll deductions;
7-22                 (4)  periods for enrollment and selection of optional
7-23     coverage and procedures for enrolling and exercising options under
7-24     the group program;
7-25                 (5)  adoption of a cafeteria plan;
7-26                 (6)  procedures for claims administration; and
 8-1                 (7)  procedures to administer the fund.
 8-2           Art. 3A.052.  PERSONNEL.  The board of trustees may employ
 8-3     persons to assist the board of trustees in administering this
 8-4     chapter.
 8-5           Art. 3A.053.  USE OF GENERIC AND MAIL-ORDER DRUGS.  The board
 8-6     of trustees shall adopt rules to maximize any available cost
 8-7     savings from the use of generic or mail-order prescription drugs
 8-8     unless the use of those drugs would cause an undue burden on or
 8-9     adversely affect the health of any individual covered by a health
8-10     benefits plan adopted under this chapter.
8-11           Art. 3A.054.  CONTRACTS.  (a)  The board of trustees may, on
8-12     a competitive bid basis, contract with:
8-13                 (1)  a qualified, experienced firm of group insurance
8-14     specialists; or
8-15                 (2)  an administering firm to act for the board of
8-16     trustees in the capacity of an independent administrator and
8-17     manager of a plan authorized under this chapter.
8-18           (b)  The independent administrator selected by the board of
8-19     trustees shall assist the board of trustees to ensure the proper
8-20     administration of this chapter and the coverages, services, and
8-21     benefits provided for or authorized by this chapter.
8-22           (c)  The board of trustees may enter into interagency
8-23     contracts with any state agency, including the Employees Retirement
8-24     System of Texas, for assistance in implementing or administering
8-25     the group program provided by this chapter.
8-26           Art. 3A.055.  ADVISORY COMMITTEES.  The board of trustees may
 9-1     appoint advisory committees to advise the system in the
 9-2     implementation or administration of the group program.  The
 9-3     advisory committees may include a credentialing advisory committee,
 9-4     a medical advisory committee, and a retirement advisory committee.
 9-5              SUBCHAPTER C.  PROGRAM PARTICIPATION AND COVERAGE
 9-6           Art. 3A.101.  PARTICIPATION IN GROUP PROGRAM.  (a)  A school
 9-7     district may participate in the group program provided by this
 9-8     chapter if the district levies taxes authorized by the result of an
 9-9     election under Section 45.003, Education Code, or if the district
9-10     pays a premium to participate in the group program under Article
9-11     3A.102 of this code.
9-12           (b)  Each full-time employee or retiree is automatically
9-13     covered by the primary health plan for employees or retirees, as
9-14     applicable, unless the employee or retiree specifically waives
9-15     coverage or unless the employee or retiree is expelled from the
9-16     group program.
9-17           (c)  Each part-time employee is eligible to participate in
9-18     the primary health plan provided by this chapter on application in
9-19     the manner provided by the board of trustees unless the employee
9-20     has been expelled from the group program.  An employer shall notify
9-21     each of its part-time employees of their eligibility for
9-22     participation in the primary health plan.
9-23           Art. 3A.102.  PARTICIPATION IN GROUP PROGRAM BY PAYMENT OF
9-24     PREMIUM.  (a)  A school district may participate in the group
9-25     program provided by this chapter by paying the appropriate premium
9-26     as determined by rules adopted by the board of trustees.
 10-1          (b)  A full-time or part-time employee of a school district
 10-2    that does not participate in the group program may participate in
 10-3    the group program by paying the appropriate premium as determined
 10-4    by rules adopted by the board of trustees.
 10-5          (c)  The board of trustees shall adopt rules for the payment
 10-6    of premiums by school districts and employees to participate in the
 10-7    group program under this section.
 10-8          Art. 3A.103.  PRIMARY HEALTH COVERAGE.  (a)  The board of
 10-9    trustees shall administer a primary health plan for program
10-10    participants and their dependents, surviving spouses, and surviving
10-11    children.  The plan coverages shall be comparable in scope and, to
10-12    the greatest extent possible, in cost to the basic coverage for
10-13    health care that state employees automatically participate in under
10-14    the Texas Employees Uniform Group Insurance Benefits Act (Article
10-15    3.50-2, Vernon's Texas Insurance Code).
10-16          (b)  The board of trustees must offer to program participants
10-17    plans of comparable primary health coverage except that the board
10-18    of trustees may offer enhanced primary health coverage to program
10-19    participants without Medicare coverage so that all program
10-20    participants receive comparable benefits under the primary health
10-21    plan.
10-22          (c)  The board of trustees by rule shall define the primary
10-23    health coverage in which each full-time employee or retiree
10-24    participates unless specifically waived.
10-25          Art. 3A.104.  COVERAGE FOR DEPENDENTS OF PRIMARY HEALTH PLAN
10-26    PARTICIPANT.  A program participant who is covered by the primary
 11-1    health plan is entitled to obtain dependent coverage in the primary
 11-2    health plan as determined by the board of trustees.  Additional
 11-3    contribution payments for dependent coverage shall be made by the
 11-4    program participant in the manner determined by the board of
 11-5    trustees.
 11-6          Art. 3A.105.  COVERAGE FOR SURVIVING SPOUSE OR DEPENDENTS OF
 11-7    SURVIVING SPOUSE.  (a)  A surviving spouse may elect to retain or
 11-8    obtain coverage from the primary health plan for the surviving
 11-9    spouse or dependents of the surviving spouse at the applicable rate
11-10    for a dependent.
11-11          (b)  A surviving spouse must provide payment of applicable
11-12    contributions in the manner established by rules adopted by the
11-13    board of trustees.
11-14          Art. 3A.106.  COVERAGE FOR SURVIVING DEPENDENT CHILD.  (a)  A
11-15    surviving dependent child, the guardian of the child's estate, or
11-16    the person having custody of the child may elect to retain or
11-17    obtain coverage from the primary health plan for the surviving
11-18    dependent child at the applicable rate for a dependent.
11-19          (b)  The applicable contributions must be provided in the
11-20    manner established by rules adopted by the board of trustees.
11-21          Art. 3A.107.  OPTIONAL GROUP COVERAGE.  (a)  The board of
11-22    trustees shall contract with a qualified plan provider to offer
11-23    program participants:
11-24                (1)  optional permanent life insurance coverage;
11-25                (2)  long-term care insurance that provides coverage
11-26    for home, community, and institutional care; and
 12-1                (3)  insurance for short-term or long-term loss of
 12-2    salary because of disability.
 12-3          (b)  The board of trustees may offer program participants
 12-4    other optional group insurance coverages considered advisable by
 12-5    the board of trustees.
 12-6          (c)  In contracting for any benefits under this article,
 12-7    competitive bidding is required.  The board of trustees by rule
 12-8    shall prescribe the procedure for conducting the bidding.  The
 12-9    rules may provide criteria to determine qualified plan providers.
12-10    The board of trustees is not required to select the lowest bid and
12-11    shall consider ability to service contracts, past experiences,
12-12    financial stability, and other relevant criteria.  If the board of
12-13    trustees awards a contract to an entity whose products deviate from
12-14    those for which bids were solicited, the deviation shall be
12-15    recorded and the reasons for the deviation shall be fully justified
12-16    in the minutes of the next meeting of the board of trustees.
12-17          (d)  Insurance coverage provided under this article shall be
12-18    made available periodically during open-enrollment periods
12-19    determined by the board of trustees.
12-20          Art. 3A.108.  AVAILABILITY OF OPTIONAL COVERAGE.  (a)  The
12-21    board of trustees shall offer the optional insurance coverage under
12-22    this chapter to:
12-23                (1)  employees through their employers; and
12-24                (2)  retirees through the system.
12-25          (b)  The board of trustees shall offer long-term care
12-26    insurance to a program participant for that participant's:
 13-1                (1)  dependent;
 13-2                (2)  surviving spouse;
 13-3                (3)  parent or grandparent; and
 13-4                (4)  spouse's or surviving spouse's parent.
 13-5          (c)  Each program participant who participates in optional
 13-6    insurance coverage provided under this chapter is responsible for
 13-7    the full cost of that coverage.
 13-8          (d)  An employee who participates in optional insurance
 13-9    coverage provided under this chapter shall pay contributions by
13-10    payroll deduction remitted by the employee's employer at the times
13-11    and in the manner provided by the trustee.
13-12          (e)  A retiree who participates in optional insurance
13-13    coverage provided under this chapter shall pay contributions by
13-14    deduction from the retiree's monthly retirement annuity.
13-15                       SUBCHAPTER D.  CONTRIBUTIONS
13-16          Art. 3A.151.  FUNDING OF PRIMARY HEALTH COVERAGE.  (a)  The
13-17    state shall contribute for each program participant who is covered
13-18    by the primary health plan the amount provided by the General
13-19    Appropriations Act.
13-20          (b)  The board of trustees shall pay from the primary health
13-21    fund:
13-22                (1)  100 percent of the cost of primary health coverage
13-23    for employees and for retirees who retired with at least 10 years
13-24    of actual service credit with the system; and
13-25                (2)  50 percent of the cost of primary health coverage
13-26    for dependents of employees and retirees who retired with at least
 14-1    10 years of actual service credit with the system.
 14-2          (c)  That portion of the cost of primary health coverage
 14-3    selected by the program participant that exceeds the amount of
 14-4    state contributions under Subsection (b)(2) of this article shall
 14-5    be paid by the employee or retiree or the employee's school
 14-6    district, according to the employee's employment contract.
 14-7          Art. 3A.152.  CERTIFICATION OF AMOUNT NECESSARY TO PAY STATE
 14-8    CONTRIBUTION.  Not later than October 31 preceding each regular
 14-9    session of the legislature, the board of trustees shall certify the
14-10    amount necessary to pay the state contributions to the primary
14-11    health fund to:
14-12                (1)  the Legislative Budget Board; and
14-13                (2)  the budget division of the governor's office.
14-14                           SUBCHAPTER E.  FUNDS
14-15          Art. 3A.201.  SCHOOL EMPLOYEES PRIMARY HEALTH COVERAGE FUND.
14-16    (a)  The school employees primary health coverage fund is created
14-17    as a trust fund with the comptroller, who is custodian of the fund.
14-18          (b)  The board of trustees shall administer the fund on
14-19    behalf of the participants in the plans of coverage provided under
14-20    this chapter.
14-21          (c)  The following shall be paid into the primary health
14-22    fund:
14-23                (1)  distributions from the permanent school fund as
14-24    authorized by any constitutional or statutory provision;
14-25                (2)  local premium contributions provided by
14-26    participating school districts as authorized by an election held
 15-1    under Section 45.003(f), Education Code;
 15-2                (3)  state appropriations for the premiums or other
 15-3    contributions for primary health coverage for program participants;
 15-4                (4)  premiums or other contributions paid for primary
 15-5    health coverage of the retirees, dependents, surviving spouses, and
 15-6    surviving children of program participants;
 15-7                (5)  money recovered under contracts for the
 15-8    implementation or administration of the primary health plan;
 15-9                (6)  appropriations for implementation and
15-10    administration of the primary health plan;
15-11                (7)  investment and depository income of the primary
15-12    health fund; and
15-13                (8)  other money required or authorized to be paid into
15-14    the primary health fund.
15-15          (d)  Money in the primary health fund may be used only to pay
15-16    for primary health coverage provided under this chapter, including
15-17    the expenses of administering the program.
15-18          Art. 3A.202.  PUBLIC SCHOOL EMPLOYEES OPTIONAL INSURANCE
15-19    FUND.  (a)  The school employees optional insurance fund is created
15-20    as a trust fund with the comptroller, who is custodian of the fund.
15-21          (b)  The board of trustees shall administer the optional
15-22    insurance fund on behalf of the participants in the plans of
15-23    insurance coverage provided under this chapter.
15-24          (c)  The following shall be credited to the optional
15-25    insurance fund:
15-26                (1)  premiums and other contributions from participants
 16-1    in plans of optional insurance;
 16-2                (2)  money recovered under contracts for providing
 16-3    optional insurance coverage;
 16-4                (3)  investment and depository income of the optional
 16-5    insurance fund; and
 16-6                (4)  other money required or authorized to be paid into
 16-7    the optional insurance fund.
 16-8          (d)  Money in the optional insurance fund may be used only to
 16-9    pay for optional insurance coverage, including the expenses of
16-10    administering the optional insurance program.
16-11          Art. 3A.203.  INVESTMENT AUTHORITY.  The board of trustees
16-12    may invest assets of any fund administered under this subchapter in
16-13    the manner provided by Subchapter D, Chapter 825, Government Code,
16-14    for assets of the system.
16-15            SUBCHAPTER F.  RECORDS, PROCEEDINGS, AND ACCOUNTING
16-16          Art. 3A.251.  CONFIDENTIALITY OF RECORDS.  (a)  Section
16-17    825.507, Government Code, applies to information in records
16-18    relating to a retiree, employee, annuitant, or beneficiary under
16-19    the group program.
16-20          (b)  The system may disclose to a health or benefit provider
16-21    information in the records of an individual that the system
16-22    determines is necessary to administer the group program.
16-23          Art. 3A.252.  CLAIM DENIAL OR EXPULSION.  (a)  A program
16-24    participant or a covered dependent, surviving spouse, or surviving
16-25    dependent child may appeal a claim denial or an expulsion from the
16-26    group program to the board of trustees.
 17-1          (b)  Adjudication of claims and expulsion from the group
 17-2    program are subject to the contested case provisions under Chapter
 17-3    2001, Government Code.
 17-4          Art. 3A.253.  HEARING EXAMINER.  The board of trustees may
 17-5    delegate its authority to adjudicate claims and expulsions to a
 17-6    qualified hearing examiner.
 17-7          Art. 3A.254.  APPEAL.  (a)  A decision of the board of
 17-8    trustees or a hearing examiner is subject to review by a district
 17-9    court in Travis County or in the county in which the claimant
17-10    resides.
17-11          (b)  An appeal of a determination under this section is under
17-12    the substantial evidence rule.
17-13          Art. 3A.255.  ANNUAL ACCOUNTING.  (a)  In this article, "plan
17-14    year" means the period beginning on September 1 and ending on the
17-15    following August 31.
17-16          (b)  Group coverage purchased under this chapter must provide
17-17    for an accounting to the board of trustees by each plan provider
17-18    providing the coverage.
17-19          (c)  The accounting must be submitted:
17-20                (1)  not later than the 90th day after the last day of
17-21    each plan year; and
17-22                (2)  on a form approved by the board of trustees.
17-23          (d)  Each plan provider shall prepare any other report
17-24    required by rule by the board of trustees.
17-25          (e)  A plan provider may not assess an additional charge for
17-26    preparation of an accounting report.
 18-1          SECTION 2.  Subsection (a), Section 22.004, Education Code,
 18-2    is amended to read as follows:
 18-3          (a)  Each district that does not participate in the Texas
 18-4    school employees group insurance program provided under Chapter 3A,
 18-5    Insurance Code, shall make available to its employees group health
 18-6    coverage provided by a risk pool established by one or more school
 18-7    districts under Chapter 172, Local Government Code, or under a
 18-8    policy of insurance or group contract issued by an insurer, a
 18-9    company subject to Chapter 20, Insurance Code, or a health
18-10    maintenance organization under the Texas Health Maintenance
18-11    Organization Act (Chapter 20A, Vernon's Texas Insurance Code).  The
18-12    coverage must meet the substantive coverage requirements of Article
18-13    3.51-6, Insurance Code, and any other law applicable to group
18-14    health insurance policies or contracts issued in this state.  The
18-15    coverage must include major medical treatment but may exclude
18-16    experimental procedures.  In this subsection, "major medical
18-17    treatment" means a medical, surgical, or diagnostic procedure for
18-18    illness or injury. The coverage may include managed care or
18-19    preventive care and must be comparable to the basic health coverage
18-20    provided under the Texas Employees Uniform Group Insurance Benefits
18-21    Act (Article 3.50-2, Vernon's Texas Insurance Code).  The board of
18-22    trustees of the Teacher Retirement System of Texas shall adopt
18-23    rules to determine whether a school district's group health
18-24    coverage is comparable to the basic health coverage specified by
18-25    this subsection.  The rules must provide for consideration of the
18-26    following factors concerning the district's coverage in determining
 19-1    whether the district's coverage is comparable to the basic health
 19-2    coverage specified by this subsection:
 19-3                (1)  the deductible amount for service provided inside
 19-4    and outside of the network;
 19-5                (2)  the coinsurance percentages for service provided
 19-6    inside and outside of the network;
 19-7                (3)  the maximum amount of coinsurance payments a
 19-8    covered person is required to pay;
 19-9                (4)  the amount of the copayment for an office visit;
19-10                (5)  the schedule of benefits and the scope of
19-11    coverage;
19-12                (6)  the lifetime maximum benefit amount; and
19-13                (7)  verification that the coverage is issued by a
19-14    provider licensed to do business in this state by the Texas
19-15    Department of Insurance or is provided by a risk pool authorized
19-16    under Chapter 172, Local Government Code, or that a district is
19-17    capable of covering the assumed liabilities in the case of coverage
19-18    provided through district self-insurance.
19-19          SECTION 3.  Subchapter A, Chapter 22, Education Code, is
19-20    amended by adding Section 22.007 to read as follows:
19-21          Sec. 22.007.  TEXAS SCHOOL EMPLOYEES GROUP INSURANCE PROGRAM.
19-22    A school district may participate in the Texas school employees
19-23    group insurance program provided under Chapter 3A, Insurance Code,
19-24    if the district imposes a tax as a result of an election under
19-25    Section 45.003(f) that complies with the requirements of Section
19-26    45.0031 or if the district pays a premium to participate in the
 20-1    program under Article 3A.102, Insurance Code.
 20-2          SECTION 4.  Section 42.303, Education Code, is amended to
 20-3    read as follows:
 20-4          Sec. 42.303.  LIMITATION ON ENRICHMENT TAX RATE.  (a)  Except
 20-5    as provided by Subsection (b), the [The] district enrichment tax
 20-6    rate ("DTR") under Section 42.302 may not exceed $0.64 per $100 of
 20-7    valuation, or a greater amount for any year provided by
 20-8    appropriation.
 20-9          (b)  The tax imposed as a result of an election under Section
20-10    45.003(f) for the purpose of participating in the Texas school
20-11    employees group insurance program under Chapter 3A, Insurance Code,
20-12    may not be included in the amount of the district enrichment tax
20-13    rate for the purposes of Subsection (a).
20-14          SECTION 5.  The chapter heading to Chapter 43, Education
20-15    Code, is amended to read as follows:
20-16            CHAPTER 43.  PERMANENT SCHOOL FUND, [AND] AVAILABLE
20-17      SCHOOL FUND, AND SCHOOL EMPLOYEES PRIMARY HEALTH COVERAGE FUND
20-18          SECTION 6.  Section 43.001, Education Code, is amended to
20-19    read as follows:
20-20          Sec. 43.001.  COMPOSITION OF PERMANENT SCHOOL FUND, [AND]
20-21    AVAILABLE SCHOOL FUND, AND SCHOOL EMPLOYEES PRIMARY HEALTH COVERAGE
20-22    FUND.
20-23          (a)  Except as provided by Subsections (c)-(e), the [The]
20-24    permanent school fund, which is a perpetual endowment for the
20-25    public schools of this state, consists of:
20-26                (1)  all land appropriated for the public schools by
 21-1    the constitution and laws of this state;
 21-2                (2)  all of the unappropriated public domain remaining
 21-3    in this state, including all land recovered by the state by suit or
 21-4    otherwise except pine forest land as defined by Section 88.111;
 21-5                (3)  all proceeds from the authorized sale of permanent
 21-6    school fund land;
 21-7                (4)  all proceeds from the lawful sale of any other
 21-8    properties belonging to the permanent school fund;
 21-9                (5)  all investments authorized by Section 43.003 of
21-10    properties belonging to the permanent school fund; [and]
21-11                (6)  all income from the mineral development of
21-12    permanent school fund land, including income from mineral
21-13    development of riverbeds and other submerged land;
21-14                (7)  the interest and dividends arising from any
21-15    securities or funds belonging to the permanent school fund;
21-16                (8)  all interest derivable from the proceeds of the
21-17    sale of land set apart for the permanent school fund; and
21-18                (9)  all money derived from the lease of land belonging
21-19    to the permanent school fund.
21-20          (b)  The available school fund, which shall be apportioned
21-21    annually to each county according to its scholastic population,
21-22    consists of:
21-23                (1)  two-thirds of the distributions from the permanent
21-24    school fund under Subsection (d) each fiscal year;
21-25                (2)  [the interest and dividends arising from any
21-26    securities or funds belonging to the permanent school fund;]
 22-1                [(2)  all interest derivable from the proceeds of the
 22-2    sale of land set apart for the permanent school fund;]
 22-3                [(3)  all money derived from the lease of land
 22-4    belonging to the permanent school fund;]
 22-5                [(4)]  one-fourth of all revenue derived from all state
 22-6    occupation taxes, exclusive of delinquencies and cost of
 22-7    collection;
 22-8                (3) [(5)]  one-fourth of revenue derived from state
 22-9    gasoline and special fuels excise taxes as provided by law; and
22-10                (4) [(6)]  all other appropriations to the available
22-11    school fund made by the legislature for public school purposes.
22-12          (c)  The school employees primary health coverage fund, which
22-13    the Teacher Retirement System of Texas shall administer, consists
22-14    of appropriated funds and other funds as provided by law, local
22-15    premium contributions provided by participating school districts as
22-16    authorized by an election held under Section 45.003(f), and
22-17    one-third of the distributions from the permanent school fund under
22-18    Subsection (d) each fiscal year.
22-19          (d)  The total amount to be distributed under this section
22-20    each fiscal year from the permanent school fund is equal to:
22-21                (1)  at least three percent but not more than seven
22-22    percent of the average fair market value of the permanent school
22-23    fund at the end of each of the preceding 12 quarters, in accordance
22-24    with the rate adopted by a vote of two-thirds of the total
22-25    membership of the State Board of Education; or
22-26                (2)  five percent of the market value of the permanent
 23-1    school fund at the end of each of the preceding 12 quarters, if the
 23-2    State Board of Education does not adopt a rate under Subdivision
 23-3    (1).
 23-4          (e)  The term "scholastic population" in Subsection (b) or
 23-5    any other law governing the apportionment, distribution, and
 23-6    transfer of the available school fund means all students of school
 23-7    age enrolled in average daily attendance the preceding school year
 23-8    in the public elementary and high school grades of school districts
 23-9    within or under the jurisdiction of a county of this state.
23-10          SECTION 7.  Chapter 43, Education Code, is amended by adding
23-11    Section 43.0021 to read as follows:
23-12          Sec. 43.0021.  TRANSFERS FROM PERMANENT SCHOOL FUND AND
23-13    GENERAL REVENUE FUND TO SCHOOL EMPLOYEES PRIMARY HEALTH COVERAGE
23-14    FUND.  (a)  On the first working day of each month in a state
23-15    fiscal year, the comptroller shall transfer from the permanent
23-16    school fund to the school employees primary health coverage fund an
23-17    amount equal to one-twelfth of the annual distribution from the
23-18    permanent school fund to the school employees primary health
23-19    coverage fund as determined by the State Board of Education under
23-20    Section 5, Article VII, Texas Constitution, for the fiscal year.
23-21          (b)  Notwithstanding Subsection (a), for the fiscal year
23-22    beginning September 1, 2001, the comptroller shall transfer from
23-23    the permanent school fund to the school employees primary health
23-24    coverage fund:
23-25                (1)  on January 2, 2002, an amount equal to
23-26    five-twelfths of the annual distribution from the permanent school
 24-1    fund to the school employees primary health coverage fund as
 24-2    provided by Section 5, Article VII, Texas Constitution, for that
 24-3    fiscal year; and
 24-4                (2)  on the first working day of each month after
 24-5    January 2002, an amount equal to one-twelfth of the annual
 24-6    distribution from the permanent school fund to the school employees
 24-7    primary health coverage fund as provided by Section 5, Article VII,
 24-8    Texas Constitution, for that fiscal year.
 24-9          (c)  Subsection (b) and this subsection expire September 1,
24-10    2002.
24-11          SECTION 8.  Section 45.003, Education Code, is amended by
24-12    amending Subsection (d) and adding Subsection (f) to read as
24-13    follows:
24-14          (d)  Except as provided by Subsection (f), a [A] proposition
24-15    submitted to authorize the levy of maintenance taxes must include
24-16    the question of whether the governing board or commissioners court
24-17    may levy, assess, and collect annual ad valorem taxes for the
24-18    further maintenance of public schools, at a rate not to exceed the
24-19    rate, which may be not more than $1.50 on the $100 valuation of
24-20    taxable property in the district, stated in the proposition.
24-21          (f)  In addition to a proposition submitted under Subsection
24-22    (d), a proposition may be submitted to authorize maintenance taxes
24-23    that includes the question of whether the governing board or
24-24    commissioners court may levy, assess, and collect ad valorem taxes
24-25    for the specific purpose of participating in the Texas school
24-26    employees group insurance program under Chapter 3A, Insurance Code,
 25-1    at a rate not to exceed the rate stated in the proposition.  The
 25-2    tax imposed as a result of an election under this subsection may
 25-3    not be used in the determination of the district enrichment tax
 25-4    rate under Section 42.302, and the limitation on the tax rate of
 25-5    $1.50 on the $100 valuation of taxable property in the district
 25-6    under Subsection (d) shall not apply to the combined rate of taxes
 25-7    imposed as a result of an election under Subsection (d) and an
 25-8    election under this subsection.
 25-9          SECTION 9.  Subchapter A, Chapter 45, Education Code, is
25-10    amended by adding Sections 45.0031 and 45.0032 to read as follows:
25-11          Sec. 45.0031.  TAX RATE FOR SUPPORT OF HEALTH PLANS.  The
25-12    legislature in the General Appropriations Act shall set a threshold
25-13    tax rate for a district to impose by virtue of an election under
25-14    Section 45.003(f) in order for the district to participate in the
25-15    Texas school employees group insurance program under Chapter 3A,
25-16    Insurance Code.
25-17          Sec. 45.0032.  REMITTANCE OF TAX RECEIPTS FOR TAXES FOR
25-18    SUPPORT OF HEALTH PLANS.  (a)  Each year, the commissioner, with
25-19    the assistance of the comptroller, shall determine the amount of
25-20    tax receipts of a school district from the tax levied by the
25-21    district as authorized by an election under Section 45.003(f) for
25-22    the purpose of participating in the Texas school employees group
25-23    insurance program under Chapter 3A, Insurance Code.
25-24          (b)  The school district shall remit the amount determined by
25-25    the commissioner under Subsection (a) to the comptroller for
25-26    deposit in the school employees primary health coverage fund in the
 26-1    manner prescribed by the comptroller by rule.
 26-2          SECTION 10.  The following are repealed:
 26-3                (1)  Article 3.50-4, Insurance Code;
 26-4                (2)  Article 3.50-4A, Insurance Code, as added by
 26-5    Chapter 1540, Acts of the 76th Legislature, Regular Session, 1999;
 26-6    and
 26-7                (3)  Article 3.50-4A, Insurance Code, as added by
 26-8    Chapter 372, Acts of the 76th Legislature, Regular Session, 1999.
 26-9          SECTION 11.  Section 43.008, Education Code, is repealed.
26-10          SECTION 12.  (a)  The Teacher Retirement System of Texas
26-11    shall transfer all assets and liabilities of the programs provided
26-12    under Article 3.50-4A, Insurance Code, as added by Chapter 1540,
26-13    Acts of the 76th Legislature, Regular Session, 1999, and Article
26-14    3.50-4A, Insurance Code, as added by Chapter 372, Acts of the 76th
26-15    Legislature, Regular Session, 1999, all coverages provided under
26-16    those programs, and all records pertaining to those programs to the
26-17    optional group insurance program provided under Chapter 3A,
26-18    Insurance Code, as added by this Act, not later than the date that
26-19    optional program is implemented.
26-20          (b)  The Teacher Retirement System of Texas shall transfer
26-21    all assets and liabilities of the program provided under Article
26-22    3.50-4, Insurance Code, all coverages provided under that program,
26-23    and all records pertaining to that program to the primary health
26-24    plan provided under Chapter 3A, Insurance Code, as added by this
26-25    Act, not later than the date the primary health plan provided under
26-26    Chapter 3A is implemented.
 27-1          SECTION 13.  (a)  The Teacher Retirement System of Texas
 27-2    shall use money appropriated by the 77th Legislature for initial
 27-3    costs for the establishment of a primary health plan in a manner
 27-4    necessary to ensure that enrollment in that plan provided under
 27-5    Chapter 3A, Insurance Code, as added by this Act, begins not later
 27-6    than the 2002-2003 school year.
 27-7          (b)  In 2001, the Teacher Retirement System of Texas shall
 27-8    deliver with the certification required under Article 3A.152,
 27-9    Insurance Code, as added by this Act, a comprehensive report on its
27-10    proposal for the primary health plan under that article and the
27-11    status of planned implementation of the primary health plan.
27-12          SECTION 14.  Except as provided by Sections 15 and 16 of this
27-13    Act, this Act takes effect immediately if it receives a vote of
27-14    two-thirds of all the members elected to each house, as provided by
27-15    Section 39, Article III, Texas Constitution.  If this Act does not
27-16    receive the vote necessary for immediate effect, this Act takes
27-17    effect on the 91st day after the last day of the legislative
27-18    session.
27-19          SECTION 15.  Section 10 of this Act takes effect September 1,
27-20    2002.
27-21          SECTION 16.  (a)  Sections 5, 6, 7, and 11 of this Act take
27-22    effect January 1, 2002, but only if the constitutional amendment
27-23    proposed by the 77th Legislature, Regular Session, 2001, relating
27-24    to distributions from the permanent school fund to the available
27-25    school fund and to the school employees primary health coverage
27-26    fund, is approved by the voters.  If the proposed constitutional
 28-1    amendment is not approved by the voters, Sections 5, 6, 7, and 11
 28-2    of this Act have no effect.
 28-3          (b)  Section 43.001, Education Code, as amended by Section 6
 28-4    of this Act, and Section 43.0021, Education Code, as added by
 28-5    Section 7 of this Act, apply beginning with the state fiscal year
 28-6    beginning September 1, 2001.