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A BILL TO BE ENTITLED
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AN ACT
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relating to certain reimbursement rates offered by health benefit |
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plan administrators for certain health coverage plans. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter C, Chapter 1579, Insurance Code, is |
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amended by adding Section 1579.109 to read as follows: |
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Sec. 1579.109. LIMITATIONS. The trustee may not contract |
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for or provide a health coverage plan that provides a reimbursement |
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rate for a health care service that is less than the greater of the |
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rate paid by the state Medicaid program or the federal Medicare |
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program for that service. |
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SECTION 2. Section 1579.109, Insurance Code, as added by |
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this Act, applies only to a health coverage plan provided under |
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Chapter 1579, Insurance Code, beginning with the 2014-2015 plan |
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year. A plan year before 2014-2015 is governed by the law as it |
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existed immediately before September 1, 2014, and that law is |
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continued in effect for that purpose. |
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SECTION 3. This Act takes effect September 1, 2013. |