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A BILL TO BE ENTITLED
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AN ACT
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relating to health benefit plan coverage of prescription |
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contraceptive drugs. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 1369.102, Insurance Code, is amended to |
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read as follows: |
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Sec. 1369.102. APPLICABILITY OF SUBCHAPTER. Except as |
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otherwise provided by this subchapter, this [This] subchapter |
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applies only to a health benefit plan, including a small employer |
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health benefit plan written under Chapter 1501, that provides |
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benefits for medical or surgical expenses incurred as a result of a |
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health condition, accident, or sickness, including an individual, |
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group, blanket, or franchise insurance policy or insurance |
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agreement, a group hospital service contract, or an individual or |
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group evidence of coverage or similar coverage document that is |
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offered by: |
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(1) an insurance company; |
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(2) a group hospital service corporation operating |
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under Chapter 842; |
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(3) a fraternal benefit society operating under |
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Chapter 885; |
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(4) a stipulated premium company operating under |
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Chapter 884; |
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(5) a reciprocal exchange operating under Chapter 942; |
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(6) a health maintenance organization operating under |
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Chapter 843; |
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(7) a multiple employer welfare arrangement that holds |
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a certificate of authority under Chapter 846; or |
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(8) an approved nonprofit health corporation that |
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holds a certificate of authority under Chapter 844. |
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SECTION 2. Subchapter C, Chapter 1369, Insurance Code, is |
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amended by adding Section 1369.1031 to read as follows: |
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Sec. 1369.1031. CERTAIN COVERAGE REQUIRED. (a) This |
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section applies to a health benefit plan described by Section |
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1369.102. |
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(b) This section applies to group health coverage made |
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available by a school district in accordance with Section 22.004, |
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Education Code. |
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(c) Notwithstanding Section 172.014, Local Government Code, |
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or any other law, this section applies to health and accident |
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coverage provided by a risk pool created under Chapter 172, Local |
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Government Code. |
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(d) Notwithstanding any provision in Chapter 1551, 1575, |
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1579, or 1601 or any other law, this section applies to: |
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(1) a basic coverage plan under Chapter 1551; |
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(2) a basic plan under Chapter 1575; |
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(3) a primary care coverage plan under Chapter 1579; |
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and |
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(4) basic coverage under Chapter 1601. |
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(e) Notwithstanding Sections 1507.004 and 1507.053, or any |
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other law, this section applies to a consumer choice of benefits |
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plan issued under Chapter 1507. |
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(f) To the extent allowed by federal law, the child health |
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plan program operated under Chapter 62, Health and Safety Code, the |
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health benefits plan for children operated under Chapter 63, Health |
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and Safety Code, the state Medicaid program, and a managed care |
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organization that contracts with the Health and Human Services |
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Commission to provide health care services to recipients through a |
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managed care plan shall provide the coverage required under this |
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section to a recipient. |
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(g) A health benefit plan that provides benefits for a |
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prescription contraceptive drug must provide for an enrollee to |
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obtain up to a 12-month supply of the covered prescription |
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contraceptive drug at one time. |
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SECTION 3. The change in law made by this Act applies only |
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to a health benefit plan that is delivered, issued for delivery, or |
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renewed on or after January 1, 2018. A health benefit plan that is |
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delivered, issued for delivery, or renewed before January 1, 2018, |
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is governed by the law as it existed immediately before the |
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effective date of this Act, and that law is continued in effect for |
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that purpose. |
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SECTION 4. This Act takes effect September 1, 2017. |