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A BILL TO BE ENTITLED
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AN ACT
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relating to mandatory meetings of the Advisory Committee on Uniform |
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Prior Authorization Forms. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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Section 1. Subtitle A, Title 8, Chapter 1217, Section |
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1217.005, Insurance Code, is amended to read as follows: |
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Sec. 1217.005. ADVISORY COMMITTEE ON UNIFORM PRIOR |
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AUTHORIZATION FORMS. (a) The commissioner shall appoint a |
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committee to advise the commissioner on the technical, operational, |
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and practical aspects of developing the single, standard prior |
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authorization form required under Section 1217.004 for requesting |
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prior authorization of health care services, including: |
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(1) requirements for the health benefit plan issuer or |
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agent of the health benefit plan issuer to acknowledge receipt of |
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the standard form; |
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(2) timelines under which the health benefit plan |
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issuer or agent of the health benefit plan issuer must acknowledge |
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receipt of the standard form; and |
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(3) implications, including administrative penalties, |
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for the failure of a health benefit plan issuer or agent of a health |
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benefit plan issuer to: |
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(A) timely acknowledge receipt of the standard |
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form; or |
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(B) use or accept the form. |
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(b) The commissioner shall consult the advisory committee |
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with respect to any rule relating to a subject described by Section |
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1217.004 before adopting the rule and may shall consult the |
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committee as needed on a quarterly basis with respect to a proposed |
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or subsequent amendment of an adopted rule. |
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(c) The advisory committee shall be composed of an equal |
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number of members from each of the following groups of |
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stakeholders: |
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(1) physicians; |
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(2) health care providers other than physicians; |
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(3) |
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hospitals; |
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(4) representatives of health benefit plans; and |
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(5) Health and Human Services Commission |
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Representatives. |
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(d) A physician may not serve on the advisory committee as a |
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physician member under Subsection (c)(1) if the physician is or has |
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been employed by or consults or has consulted for an insurance |
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company. |
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(e) A member of the advisory committee serves without |
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compensation. |
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(f) Section 39.003(a) of this code and Chapter 2110, |
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Government Code, do not apply to the advisory committee. |
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Added by Acts 2015, 84th Leg., R.S., Ch. 1198 (S.B. 1216), Sec. 1, |
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eff. September 1, 2015. |