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A BILL TO BE ENTITLED
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AN ACT
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relating to health benefit plan coverage under the Texas Employees |
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Group Benefits Act for certain medical supplies. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter E, Chapter 1551, Insurance Code, is |
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amended by adding Section 1551.223 to read as follows: |
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Sec. 1551.223. SUPPLIES AND SERVICES ASSOCIATED WITH |
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DIABETES TREATMENT. (a) In this section, "diabetes equipment" and |
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"diabetes supplies" have the meanings assigned by Section 1358.051. |
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(b) A health benefit plan offered under the group benefits |
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program that provides coverage for the treatment of diabetes must |
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provide coverage for diabetes equipment and diabetes supplies. |
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(c) A health benefit plan described by Subsection (b) may |
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require a deductible, copayment, or coinsurance for coverage |
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provided under this section. The amount of the deductible, |
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copayment, or coinsurance may not exceed the amount of the |
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deductible, copayment, or coinsurance required for treatment of |
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another disease or chronic health condition for which coverage for |
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disease management services is provided under Section 1551.219. |
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SECTION 2. Section 1551.223, Insurance Code, as added by |
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this Act, applies only to a group health benefit plan that is |
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delivered, issued for delivery, or renewed on or after January 1, |
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2010. A group health benefit plan that is delivered, issued for |
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delivery, or renewed before January 1, 2010, is covered by the law |
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in effect at the time the group health benefit plan was delivered, |
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issued for delivery, or renewed, and that law is continued in effect |
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for that purpose. |
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SECTION 3. This Act takes effect immediately if it receives |
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a vote of two-thirds of all the members elected to each house, as |
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provided by Section 39, Article III, Texas Constitution. If this |
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Act does not receive the vote necessary for immediate effect, this |
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Act takes effect September 1, 2009. |