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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.