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Amend SB 1149 (house committee printing) in SECTION 1 of the
bill as follows:
(1) In added Section 1274.001, Insurance Code (page 1,
between lines 13 and 14), add the following new Subdivision (2) and
renumber subdivisions appropriately:
(2) "Health benefit plan" means a group, blanket, or
franchise insurance policy, a certificate issued under a group
policy, a group hospital service contract, or a group subscriber
contract or evidence of coverage issued by a health maintenance
organization that provides benefits for health care services. The
term does not include:
(A) accident-only or disability income insurance
coverage or a combination of accident-only and disability income
insurance coverage;
(B) credit-only insurance coverage;
(C) disability insurance coverage;
(D) coverage only for a specified disease or
illness;
(E) Medicare services under a federal contract;
(F) Medicare supplement and Medicare Select
policies regulated in accordance with federal law;
(G) long-term care coverage or benefits, nursing
home care coverage or benefits, home health care coverage or
benefits, community-based care coverage or benefits, or any
combination of those coverages or benefits;
(H) coverage that provides limited-scope dental
or vision benefits;
(I) coverage provided by a single service health
maintenance organization;
(J) coverage issued as a supplement to liability
insurance;
(K) workers' compensation insurance coverage or
similar insurance coverage;
(L) automobile medical payment insurance
coverage;
(M) a jointly managed trust authorized under 29
U.S.C. Section 141 et seq. that contains a plan of benefits for
employees that is negotiated in a collective bargaining agreement
governing wages, hours, and working conditions of the employees
that is authorized under 29 U.S.C. Section 157;
(N) hospital indemnity or other fixed indemnity
insurance coverage;
(O) reinsurance contracts issued on a stop-loss,
quota-share, or similar basis;
(P) liability insurance coverage, including
general liability insurance and automobile liability insurance
coverage; or
(Q) coverage that provides other limited
benefits specified by federal regulations.
(2) In added Section 1274.002, Insurance Code (page 3, line
11), between "STATUS." and "Each", insert "(a)".
(3) In added Section 1274.002, Insurance Code (page 4,
between lines 9 and 10), insert Subsection (b) to read as follows:
(b) Information required to be made available under this
section may be made available only to a participating provider who
is authorized under state and federal law to receive personally
identifiable information on an enrollee or dependent.