78R6846 AJA-D
By: Gallegos S.B. No. 1684
A BILL TO BE ENTITLED
AN ACT
relating to reporting of claims information by insurers writing
professional liability insurance for physicians and health care
providers.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 5, Insurance Code, is
amended by adding Article 5.15-6 to read as follows:
Art. 5.15-6. REPORT OF CLAIMS UNDER PROFESSIONAL LIABILITY
INSURANCE POLICIES FOR PHYSICIANS AND HEALTH CARE PROVIDERS. (a)
On or before November 1 of each year, an insurer that writes
professional liability insurance for physicians and health care
providers shall provide to the commissioner a report that specifies
for the preceding year:
(1) the number of notice of claim letters under
Section 4.01, Medical Liability and Insurance Improvement Act of
Texas (Article 4590i, Vernon's Texas Civil Statutes), received by
physicians insured by the insurer;
(2) the number of notice of claim letters under
Section 4.01, Medical Liability and Insurance Improvement Act of
Texas (Article 4590i, Vernon's Texas Civil Statutes), received by
nonphysician health care providers insured by the insurer;
(3) the number of claims for which a suit is filed
against an insured physician;
(4) the number of claims for which a suit is filed
against an insured nonphysician health care provider;
(5) the number of claims against insured physicians
for which payment is made to the claimant under a judgment or
settlement agreement;
(6) the number of claims against insured nonphysician
health care providers for which payment is made to the claimant
under a judgment or settlement agreement;
(7) the total amount paid to claimants under judgments
and settlement agreements in claims against insured physicians;
(8) the total amount paid to claimants under judgments
and settlement agreements in claims against insured nonphysician
health care providers; and
(9) any other information regarding claims required by
the commissioner.
(b) At the same time an insurer provides information to the
commissioner under Subsection (a) of this article, the insurer
shall report to the Texas State Board of Medical Examiners:
(1) the information described by Subsections (a)(1),
(3), (5), and (7) of this article; and
(2) any other information regarding claims required by
the board.
(c) On or before January 1 of each year, the commissioner
and the Texas State Board of Medical Examiners shall submit a report
to the legislature that includes all information provided to the
board and the commissioner under this article for the preceding
year.
SECTION 2. This Act takes effect September 1, 2003.