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A BILL TO BE ENTITLED
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AN ACT
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relating to benefits under certain health benefit plans for |
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prenatal care, birth of a child, and postdelivery care. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter B, Chapter 1366, Insurance Code, is |
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amended by adding Sections 1366.0545, 1366.0546, and 1366.0547 to |
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read as follows: |
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Sec. 1366.0545. COVERAGE FOR PRENATAL CARE REQUIRED. A |
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health benefit plan must provide to a pregnant enrollee benefits |
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for prenatal care that are: |
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(1) recommended under generally accepted standards of |
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medical practice; or |
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(2) medically necessary for the enrollee. |
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Sec. 1366.0546. COVERAGE FOR BIRTH OF CHILD REQUIRED. A |
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health benefit plan must provide coverage to a female enrollee and |
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the enrollee's child for medical and other health care services |
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provided in connection with the birth of the child. |
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Sec. 1366.0547. ACCESS TO OBSTETRICAL OR GYNECOLOGICAL |
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CARE. Except as otherwise provided by this subchapter, coverage |
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under Sections 1366.0545 and 1366.0546 is subject to Subchapter F, |
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Chapter 1451. |
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SECTION 2. Section 1366.055(a), Insurance Code, is amended |
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to read as follows: |
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(a) Except as provided by Subsection (b), a health benefit |
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plan [that provides maternity benefits, including benefits for
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childbirth,] must provide to a woman who has given birth to a child |
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and the newborn child coverage for inpatient care in a health care |
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facility for not less than: |
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(1) 48 hours after an uncomplicated vaginal delivery; |
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and |
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(2) 96 hours after an uncomplicated delivery by |
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cesarean section. |
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SECTION 3. Section 1366.059, Insurance Code, is amended to |
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read as follows: |
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Sec. 1366.059. RULES. The commissioner, in accordance with |
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Subchapter A, Chapter 36, shall adopt rules necessary to administer |
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this subchapter. The rules may coordinate benefits required under |
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this subchapter with analogous benefits required under federal law. |
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SECTION 4. This Act applies only to a health benefit plan |
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that is delivered, issued for delivery, or renewed on or after |
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January 1, 2010. A health benefit plan that is delivered, issued for |
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delivery, or renewed before January 1, 2010, is governed by the law |
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as it existed immediately before the effective date of this Act, and |
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that law is continued in effect for this purpose. |
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SECTION 5. This Act takes effect September 1, 2009. |