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A BILL TO BE ENTITLED
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AN ACT
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relating to a prohibition on bids by certain insurance and health |
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benefit providers to administer or provide coverage under certain |
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group benefit plans for governmental employees. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter E, Chapter 1551, Insurance Code, is |
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amended by adding Section 1551.2131 to read as follows: |
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Sec. 1551.2131. CERTAIN CARRIERS PROHIBITED FROM BIDDING. |
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A carrier is prohibited from submitting a bid under Section |
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1551.212 or 1551.213 for two competitive bidding cycles if the |
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board of trustees finds that the carrier has terminated a contract |
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with a physician or provider for the provision of services solely |
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because the physician or provider informed an enrollee in a health |
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benefit plan offered or administered by the carrier of the full |
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range of physicians and providers, including out-of-network |
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providers, available to the enrollee. |
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SECTION 2. Subchapter C, Chapter 1575, Insurance Code, is |
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amended by adding Section 1575.1061 to read as follows: |
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Sec. 1575.1061. CERTAIN HEALTH CARE PROVIDERS PROHIBITED |
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FROM BIDDING. A health care provider described by Section 1575.109 |
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is prohibited from submitting a bid under Section 1575.106 for two |
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competitive bidding cycles if the trustee finds that the health |
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care provider has terminated a contract with a physician or |
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provider for the provision of services solely because the physician |
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or provider informed an enrollee in a health benefit plan offered or |
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administered by the health care provider of the full range of |
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physicians and providers, including out-of-network providers, |
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available to the enrollee. |
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SECTION 3. Subchapter B, Chapter 1579, Insurance Code, is |
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amended by adding Section 1579.0541 to read as follows: |
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Sec. 1579.0541. CERTAIN HEALTH CARE AND BENEFIT PROVIDERS |
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PROHIBITED FROM BIDDING. A health care or benefit provider is |
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prohibited from submitting a bid under Section 1579.054 for two |
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competitive bidding cycles if the trustee finds that the health |
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care or benefit provider has terminated a contract with a physician |
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or provider for the provision of services solely because the |
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physician or provider informed an enrollee in a health coverage |
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plan offered or administered by the health care or benefit provider |
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of the full range of physicians and providers, including |
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out-of-network providers, available to the enrollee. |
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SECTION 4. This Act takes effect September 1, 2019. |