Amend SB 10 on third reading by adding the following
appropriately numbered SECTION and renumbering subsequent SECTIONS
of the bill accordingly:
SECTION ____. (a) Subsection (a), Section 1207.002,
Insurance Code, is amended to read as follows:
(a) A group health benefit plan issuer shall permit an
individual who is otherwise eligible for enrollment in the plan to
enroll in the plan, without regard to any enrollment period
restriction, on receipt of written notice from the Health and Human
Services Commission [or a designee of the commission stating] that
the individual is:
(1) a recipient of medical assistance under the state
Medicaid program and is a participant in the health insurance
premium payment reimbursement program under Section 32.0422, Human
Resources Code; or
(2) a child eligible for [enrolled in] the state child
health plan under Chapter 62, Health and Safety Code, and eligible
to participate [is a participant] in the health insurance premium
assistance program under Section 62.059, Health and Safety Code.
(b) Section 1207.003, Insurance Code, is amended to read as
follows:
Sec. 1207.003. EFFECTIVE DATE OF ENROLLMENT. (a) Unless
enrollment occurs during an established enrollment period,
enrollment in a group health benefit plan under Section 1207.002
takes effect on:
(1) the eligibility enrollment date specified in the
written notice from the Health and Human Services Commission under
Section 1207.002(a); or
(2) the first day of the first calendar month that
begins at least 30 days after the date written notice or a written
request is received by the plan issuer under Section 1207.002(a) or
(b), as applicable.
(b) Notwithstanding Subsection (a), the individual must
comply with a waiting period required under the state child health
plan under Chapter 62, Health and Safety Code, or under the health
insurance premium assistance program under Section 62.059, Health
and Safety Code, as applicable.
(c) Subsection (b), Section 1207.004, Insurance Code, is
amended to read as follows:
(b) Notwithstanding any other requirement of a group health
benefit plan, the plan issuer shall permit an individual who is
enrolled in the plan under Section 1207.002(a)(2), and any family
member of the individual enrolled under Section 1207.002(c), to
terminate enrollment in the plan not later than the 60th day after
the date on which the individual provides a written request to
disenroll from the plan because the individual [satisfactory proof
to the issuer that the child is] no longer wishes to participate [a
participant] in the health insurance premium assistance program
under Section 62.059, Health and Safety Code.