79R2374 KCR-D

By:  Farabee                                                      H.B. No. 367


A BILL TO BE ENTITLED
AN ACT
relating to the provision to certain political subdivisions of claims cost information for health and accident coverage. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Chapter 172, Local Government Code, is amended by adding Section 172.017 to read as follows: Sec. 172.017. CLAIMS COST INFORMATION. (a) On the request of a political subdivision that is a member of a risk pool established under this chapter, the risk pool or another entity providing health and accident coverage to the risk pool, as applicable, shall provide to the requesting political subdivision the claims cost information for individuals participating in the health and accident coverage through the requesting political subdivision during the preceding calendar year. (b) Claims cost information provided under this section: (1) may be provided in the aggregate or on a detailed basis; (2) must be provided separately for each month during which the health and accident coverage was in effect; and (3) may not include information, including diagnosis code information, that may be used to identify a specific individual participating in the health and accident coverage or a diagnosis of that individual. (c) Information obtained by a political subdivision under this section is confidential and may be used by the political subdivision only for purposes relating to obtaining or maintaining health and accident coverage for eligible individuals. SECTION 2. The change in law made by this Act applies only to health and accident coverage that is delivered, issued for delivery, or renewed on or after January 1, 2006. Health and accident coverage that is delivered, issued for delivery, or renewed before January 1, 2006, is covered by the law in effect immediately before January 1, 2006, and the former law is continued in effect for that purpose. SECTION 3. This Act takes effect September 1, 2005.