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A BILL TO BE ENTITLED
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AN ACT
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relating to exemptions from certain mandated benefit requirements |
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in supplemental or limited coverage health benefit plans. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subtitle E, Title 8, Insurance Code, is amended |
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by adding Chapter 1380 to read as follows: |
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CHAPTER 1380. SUPPLEMENTAL OR LIMITED COVERAGE PLANS |
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Sec. 1380.001. DEFINITIONS. In this chapter, "supplemental |
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or limited coverage" does not include coverage that is mandated by |
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federal law or standard provisions or rights required under this |
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code or other laws of this state to be provided in an evidence of |
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coverage that are unrelated to a specific health illness, injury, |
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or condition of an enrollee, including provisions related to: |
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(1) continuation of coverage under Subchapter G, |
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Chapter 1251; |
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(2) termination of coverage under Sections 1202.051 |
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and 1501.108; |
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(3) preexisting conditions under Subchapter D, |
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Chapter 1201, and Sections 1501.102-1501.105; |
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(4) coverage of children and students, including |
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newborn or adopted children, under: |
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(A) Chapter 1503; |
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(B) Chapter 1504; |
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(C) Section 1501.157; |
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(D) Section 1501.158; and |
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(E) Sections 1501.607-1501.609; |
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(5) services of providers under Section 843.304; |
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(6) coverage for serious mental health illness under |
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Subchapter A, Chapter 1355; and |
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(7) coverage for cancer screenings under: |
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(A) Chapter 1356; |
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(B) Chapter 1362; |
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(C) Chapter 1363; and |
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(D) Chapter 1370. |
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Sec. 1380.002. EXEMPTION. Notwithstanding any other law, |
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Section 1507.053 does not apply to a supplemental or limited |
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coverage health benefit plan. |
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SECTION 2. This Act applies only to an insurance policy or |
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contract or evidence of coverage that is delivered, issued for |
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delivery, or renewed on or after January 1, 2010. An insurance |
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policy or contract or evidence of coverage 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 that purpose. |
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SECTION 3. This Act takes effect September 1, 2009. |