BILL ANALYSIS

 

 

Senate Research Center	H.B. 3911
86R23402 SMT-F	By: Vo (Campbell)
	Business & Commerce
	5/11/2019
	Engrossed

 

 

 

AUTHOR'S / SPONSOR'S STATEMENT OF INTENT

 

H.B. 3911 amends current law relating to the examination by the commissioner of insurance of certain insurers' network quality and adequacy.

 

RULEMAKING AUTHORITY

 

This bill does not expressly grant any additional rulemaking authority to a state officer, institution, or agency.

 

SECTION BY SECTION ANALYSIS

 

SECTION 1. Amends Sections 1301.0056(a) and (d), Insurance Code, as follows:

 

(a) Requires the commissioner of insurance (commissioner) to examine an insurer to determine the quality and adequacy of a network used by a preferred provider benefit plan or an exclusive provider benefit plan offered by the insurer under this chapter (Preferred Provider Benefit Plans), rather than authorizing the commissioner to examine an insurer to determine the quality and adequacy of a network used by an exclusive provider benefit plan offered by the insurer under this chapter. Provides that an insurer is subject to a qualifying examination of the insurer�s preferred provider benefit plans and exclusive provider benefit plans and subsequent quality of care and network adequacy examinations by the commissioner at least once every three years and whenever the commissioner considers an examination necessary, rather than subject to a qualifying examination of the insurer�s exclusive provider benefit plans and subsequent quality of care examinations by the commissioner at least once every five years.

 

(d) Requires the Texas Department of Insurance (TDI) to deposit an assessment collected under this section (Examinations and Fees) to the credit of the account described by Section 401.156(a) (relating to requiring TDI to deposit certain assessments and fees to the credit of an account with the Texas Treasury Safekeeping Trust Company to be used for certain purposes), rather than to the credit of the TDI operating account.

 

SECTION 2. Effective date: September 1, 2019.