1-1     By:  Brown                                             S.B. No. 544
 1-2           (In the Senate - Filed February 6, 2001; February 7, 2001,
 1-3     read first time and referred to Committee on Business and Commerce;
 1-4     March 29, 2001, reported favorably by the following vote:  Yeas 7,
 1-5     Nays 0; March 29, 2001, sent to printer.)
 1-6                            A BILL TO BE ENTITLED
 1-7                                   AN ACT
 1-8     relating to requiring health maintenance organizations to provide
 1-9     periodic health evaluations.
1-10           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1-11           SECTION 1.  The Texas Health Maintenance Organization Act
1-12     (Chapter 20A, Vernon's Texas Insurance Code) is amended by adding
1-13     Section 9B to read as follows:
1-14           Sec. 9B.  PERIODIC HEALTH EVALUATIONS REQUIRED.  (a)  The
1-15     basic health care services provided under an evidence of coverage
1-16     must include periodic health evaluations for each adult enrollee.
1-17           (b)  The services provided under this section must include a
1-18     health risk assessment at least once every three years and, for a
1-19     female enrollee, an annual well-woman examination provided in
1-20     accordance with Article 21.53D of this code, as added by Chapter
1-21     912, Acts of the 75th Legislature, Regular Session, 1997.
1-22           (c)  This section does not apply to an evidence of coverage
1-23     for a limited health care service plan or a single health care
1-24     service plan.
1-25           SECTION 2.  This Act takes effect September 1, 2001, and
1-26     applies only to an evidence of coverage that is delivered, issued
1-27     for delivery, or renewed on or after January 1, 2002.  An evidence
1-28     of coverage that is delivered, issued for delivery, or renewed
1-29     before January 1, 2002, is governed by the law as it existed
1-30     immediately before the effective date of this Act, and that law is
1-31     continued in effect for that purpose.
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