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  S.B. No. 2423
 
 
 
 
AN ACT
  relating to the transfer or sale of patient information or
  prescription drug history by discount health care programs;
  providing penalties.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subdivisions (3) and (4), Section 76.001, Health
  and Safety Code, are amended to read as follows:
               (3)  "Discount health care program" means a business
  arrangement or contract in which an entity, in exchange for fees,
  dues, charges, or other consideration, offers its members access to
  discounts on health care services provided by health care
  providers. The term does not include an insurance policy,
  certificate of coverage, or other product regulated by the Texas
  Department of Insurance or a self-funded or self-insured employee
  benefit plan. For purposes of this subsection, consideration
  includes patient information or patient prescription drug history
  provided by members, if the entity engages in the transfer or sale
  of such patient information, patient prescription drug history, or
  drug manufacturer rebates.
               (4)  "Discount health care program operator" means a
  person who, in exchange for fees, dues, charges, or other
  consideration, operates a discount health care program and
  contracts with providers, provider networks, or other discount
  health care program operators to offer access to health care
  services at a discount and determines the charge to members. For
  purposes of this subsection, consideration includes patient
  information or patient prescription drug history provided by
  members, if the person engages in the transfer or sale of such
  patient information, patient prescription drug history, or drug
  manufacturer rebates.
         SECTION 2.  Section 76.053, Health and Safety Code, is
  amended by adding Subsection (a-1) and amending Subsection (b) to
  read as follows:
         (a-1)  If a program operator engages in the transfer or sale
  of a member's patient information or patient prescription drug
  history, the program operator shall, before enrollment, provide
  each prospective member disclosure materials describing the
  program operator's practices regarding such transfer or sale.
         (b)  A marketer shall use disclosure materials that comply
  with this section [Subsection (a)].
         SECTION 3.  Title 21, Insurance Code, is amended by adding
  Chapter 7002 to read as follows:
  CHAPTER 7002. SUPPLEMENTAL PROVISIONS RELATING TO DISCOUNT HEALTH
  CARE OPERATORS
         Sec. 7002.001.  DEFINITION. For purposes of Chapters 562
  and 7001, Insurance Code, consideration provided to a discount
  health care program or a discount health care program operator
  includes patient information or patient prescription drug history
  provided by members, if the entity engages in the transfer or sale
  of such patient information, patient prescription drug history, or
  drug manufacturer rebates.
         Sec. 7002.002.  REQUIRED DISCLOSURE. If a discount health
  care program operator engages in the transfer or sale of a member's
  patient information or patient prescription drug history, the
  program operator shall, before enrollment, provide each
  prospective member disclosure materials describing the program
  operator's practices regarding such transfer or sale.
         Sec. 7002.003.  VIOLATION; PENALTIES. A violation of this
  chapter may be enforced in the same manner as a violation of Chapter
  562 or 7001.
         SECTION 4.  (a)  Sections 1 and 2 of this Act take effect
  only if House Bill No. 4341 or Senate Bill No. 2339, Acts of the 81st
  Legislature, Regular Session, 2009, or another Act of the 81st
  Legislature, Regular Session, 2009, enacting Chapter 562 and Title
  21, Insurance Code, concerning discount health care programs is not
  enacted or does not become law.
         (b)  Section 3 of this Act takes effect only if House Bill No.
  4341 or Senate Bill No. 2339, Acts of the 81st Legislature, Regular
  Session, 2009, or another Act of the 81st Legislature, Regular
  Session, 2009, enacting Chapter 562 and Title 21, Insurance Code,
  concerning discount health care programs is enacted and becomes
  law.
         SECTION 5.  This Act takes effect September 1, 2009.
 
 
 
 
 
 
  ______________________________ ______________________________
     President of the Senate Speaker of the House     
 
         I hereby certify that S.B. No. 2423 passed the Senate on
  May 1, 2009, by the following vote:  Yeas 31, Nays 0;
  May 21, 2009, Senate refused to concur in House amendments and
  requested appointment of Conference Committee; May 23, 2009, House
  granted request of the Senate; May 30, 2009, Senate adopted
  Conference Committee Report by the following vote:  Yeas 31,
  Nays 0.
 
 
  ______________________________
  Secretary of the Senate    
 
         I hereby certify that S.B. No. 2423 passed the House, with
  amendments, on May 15, 2009, by the following vote:  Yeas 144,
  Nays 0, one present not voting; May 23, 2009, House granted request
  of the Senate for appointment of Conference Committee;
  May 28, 2009, House adopted Conference Committee Report by the
  following vote:  Yeas 141, Nays 0, two present not voting.
 
 
  ______________________________
  Chief Clerk of the House   
 
 
 
  Approved:
 
  ______________________________ 
             Date
 
 
  ______________________________ 
            Governor