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A BILL TO BE ENTITLED
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AN ACT
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relating to notice of health benefit plan provider network status |
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for certain facility-based physicians. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. The heading to Section 1456.004, Insurance Code, |
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is amended to read as follows: |
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Sec. 1456.004. REQUIRED DISCLOSURES [DISCLOSURE]: |
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FACILITY-BASED PHYSICIANS. |
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SECTION 2. Section 1456.004, Insurance Code, is amended by |
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adding Subsection (d) to read as follows: |
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(d) At least 48 hours before an enrollee's scheduled arrival |
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at a health care facility for an elective nonemergency service, a |
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facility-based physician who is to perform or assist in performing |
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the service shall notify the enrollee if the facility-based |
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physician is not within the enrollee's health benefit plan provider |
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network. |
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SECTION 3. Section 1456.004, Insurance Code, as amended by |
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this Act, applies only to a service provided on or after September |
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3, 2017. A service provided before September 3, 2017, is governed |
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by the law as it existed immediately before the effective date of |
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this Act, and that law is continued in effect for that purpose. |
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SECTION 4. This Act takes effect September 1, 2017. |