80R3757 JTS-D
 
  By: Burnam H.B. No. 816
 
 
 
   
 
 
A BILL TO BE ENTITLED
AN ACT
relating to the waiting period for benefits for certain applicants
for the child health plan program.
       BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
       SECTION 1.  Sections 62.154(a) and (d), Health and Safety
Code, are amended to read as follows:
       (a)  To the extent permitted under Title XXI of the Social
Security Act (42 U.S.C. Section 1397aa et seq.), as amended, and any
other applicable law or regulations, the child health plan must
include a waiting period and[. The child health plan] may include
copayments and other provisions intended to discourage:
             (1)  employers and other persons from electing to
discontinue offering coverage for children under employee or other
group health benefit plans; and
             (2)  individuals with access to adequate health benefit
plan coverage, other than coverage under the child health plan,
from electing not to obtain or to discontinue that coverage for a
child.
       (d)  The waiting period required by Subsection (a) must:
             (1)  extend for a period of 90 days after[:
             [(1)]  the last date on [first day of the month in]
which the applicant was covered under a health benefits plan; and
             (2)  apply only to a child who was covered by a health
benefits plan at any time during the 90 days before the date of
application for coverage under the child health plan [is enrolled
under the child health plan, if the date of enrollment is on or
before the 15th day of the month; or
             [(2)  the first day of the month after which the
applicant is enrolled under the child health plan, if the date of
enrollment is after the 15th day of the month].
       SECTION 2.  This Act takes effect immediately if it receives
a vote of two-thirds of all the members elected to each house, as
provided by Section 39, Article III, Texas Constitution.  If this
Act does not receive the vote necessary for immediate effect, this
Act takes effect September 1, 2007.