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Amend SB 418 (house committee printing) as follows:
(1) In SECTION 4 of the bill, in added Section 3E, Article 3.70-3C, Insurance Code, insert a new Subsection (h) to read as
follows (page 13, between lines 12 and 13) and reletter subsections
appropriately:
(h) Notwithstanding any other provision of this article, if
an insurer declines to verify a medical care or health care service
under this section, the physician or provider is not required to
comply with any contractual requirement that the physician or
provider hold a patient harmless for the medical care or health care
service under Section 3(k) of this article. A contract between an
insurer and a physician or provider must provide that the exercise
of the physician's or provider's rights under this subsection may
not be the basis for termination of or discrimination against the
physician or provider under the contract or the basis for a penalty
or discrimination against the physician or provider in
participation in other health care products or plans.
(2) In SECTION 4 of the bill, in Subsection (c) of added
Section 3G, Article 3.70-3C, Insurance Code, strike "mailed or
otherwise transmitted" (page 16, lines 5-6) and substitute "issued
and transmitted".
(3) In SECTION 4 of the bill, in added Section 3J, Article
3.70-3C, Insurance Code, between "process" and "claims", insert "or
pay" (page 22, line 5).
(4) In SECTION 16 of the bill, in amended Section 843.344,
Insurance Code, between "process" and "claims", insert "or pay"
(page 39, line 1).
(5) In SECTION 19 of the bill, in added Section 843.347,
Insurance Code, insert a new Subsection (h) to read as follows (page
41, between lines 24 and 25):
(h) Notwithstanding any other provision of this chapter, if
a health maintenance organization declines to verify a health care
service under this section, the physician or provider is not
required to comply with any contractual requirement that the
physician or provider hold a patient harmless for the health care
service under Section 843.361. A contract between a health
maintenance organization and a physician or provider must provide
that the exercise of the physician's or provider's rights under this
subsection may not be the basis for termination of or
discrimination against the physician or provider under the contract
or the basis for a penalty or discrimination against the physician
or provider in participation in other health care products or
plans.
(6) In SECTION 19 of the bill, in Subsection (d) of added
Section 843.348, Insurance Code, strike "mailed or otherwise
transmitted" (page 42, line 19) and substitute "issued and
transmitted".