By:  Harris                                                       S.B. No. 1804

Substitute the following for S.B. No. 1804:                                   

By:  Solomons                                                 C.S.S.B. No. 1804


A BILL TO BE ENTITLED
AN ACT
relating to certain health care treatment plans and pharmaceutical services. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subsection (e), Section 413.014, Labor Code, is amended to read as follows: (e) The commission may not prohibit an insurance carrier and a health care provider from voluntarily discussing health care treatment and treatment plans and pharmaceutical services, either prospectively or concurrently, and may not prohibit an insurance carrier from certifying or agreeing to pay for health care consistent with those agreements. The insurance carrier is liable for health care treatment and treatment plans and pharmaceutical services that are voluntarily preauthorized and may not dispute the certified or agreed-on preauthorized health care treatment and treatment plans and pharmaceutical services at a later date. SECTION 2. This Act takes effect September 1, 2003. and applies to requests for voluntary precertification occurring on, or after, the effective date.