SECTION 2. Subchapter C,
Chapter 1369, Insurance Code, is amended by adding Section 1369.1031 to
read as follows:
Sec. 1369.1031. CERTAIN
COVERAGE REQUIRED. (a) This section applies to a health benefit plan
described by Section 1369.102.
(b) This section applies
to group health coverage made available by a school district in accordance
with Section 22.004, Education Code.
(c) Notwithstanding Section 172.014, Local Government Code, or
any other law, this section applies to health and accident coverage
provided by a risk pool created under Chapter 172, Local Government Code.
(d) Notwithstanding any
provision in Chapter 1551, 1575, 1579, or 1601 or any other law, this
section applies to:
(1) a basic coverage plan
under Chapter 1551;
(2) a basic plan under
Chapter 1575;
(3) a primary care
coverage plan under Chapter 1579; and
(4) basic coverage under
Chapter 1601.
(e) Notwithstanding
Sections 1507.004 and 1507.053, or any other law, this section applies to a
consumer choice of benefits plan issued under Chapter 1507.
(f) To the extent allowed
by federal law, the child health plan program operated under Chapter 62,
Health and Safety Code, the health benefits plan for children operated
under Chapter 63, Health and Safety Code, the state Medicaid program, and a
managed care organization that contracts with the Health and Human Services
Commission to provide health care services to recipients through a managed
care plan shall provide the coverage required under this section to a
recipient.
(g) A health benefit plan
that provides benefits for a prescription contraceptive drug must provide
for an enrollee to obtain up to a 12-month supply of the covered
prescription contraceptive drug at one time.
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SECTION 2. Subchapter C,
Chapter 1369, Insurance Code, is amended by adding Section 1369.1031 to
read as follows:
Sec. 1369.1031. CERTAIN
COVERAGE REQUIRED. (a) This section applies to a health benefit plan
described by Section 1369.102.
(b) This section applies
to group health coverage made available by a school district in accordance
with Section 22.004, Education Code.
(c) Notwithstanding any
provision in Chapter 1551, 1575, 1579, or 1601 or any other law, this
section applies to:
(1) a basic coverage plan
under Chapter 1551;
(2) a basic plan under
Chapter 1575;
(3) a primary care
coverage plan under Chapter 1579; and
(4) basic coverage under
Chapter 1601.
(d) Notwithstanding
Sections 1507.004 and 1507.053, or any other law, this section applies to a
consumer choice of benefits plan issued under Chapter 1507.
(e) To the extent allowed
by federal law, the child health plan program operated under Chapter 62,
Health and Safety Code, the health benefits plan for children operated
under Chapter 63, Health and Safety Code, the state Medicaid program, and a
managed care organization that contracts with the Health and Human Services
Commission to provide health care services to recipients through a managed
care plan shall provide the coverage required under this section to a
recipient.
(f) A health benefit plan
that provides benefits for a prescription contraceptive drug must provide
for an enrollee to obtain up to:
(1) a 3-month supply of the covered prescription contraceptive
drug at one time the first time the enrollee obtains the drug; and
(2) a 12-month supply of
the covered prescription contraceptive drug at one time each subsequent time the enrollee obtains the
same drug, regardless of whether the enrollee was enrolled in the health
benefit plan the first time the enrollee obtained the drug.
(g) An enrollee may obtain only one 12-month supply of a covered
prescription contraceptive drug during each 12-month period.
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SECTION 3. The change in law
made by this Act applies only to a health benefit plan that is delivered,
issued for delivery, or renewed on or after January 1, 2018. A health
benefit plan that is delivered, issued for delivery, or renewed before
January 1, 2018, is governed by the law as it existed immediately before
the effective date of this Act, and that law is continued in effect for
that purpose.
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SECTION 3. Same as introduced
version.
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