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R E S O L U T I O N
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BE IT RESOLVED by the House of Representatives of the State of |
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Texas, 86th Legislature, Regular Session, 2019, That House Rule 13, |
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Section 9(a), be suspended in part as provided by House Rule 13, |
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Section 9(f), to enable the conference committee appointed to |
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resolve the differences on Senate Bill 1742 (physician and health |
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care provider directories, preauthorization, utilization review, |
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independent review, and peer review for certain health benefit |
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plans and workers' compensation coverage) to consider and take |
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action on the following matter: |
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House Rule 13, Section 9(a)(4), is suspended to permit the |
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conference committee to add text on a matter not included in either |
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the house or senate version of the bill by adding the following new |
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ARTICLE to the bill: |
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ARTICLE 4. JOINT INTERIM STUDY |
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SECTION 4.01. CREATION OF JOINT INTERIM COMMITTEE. (a) A |
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joint interim committee is created to study, review, and report on |
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the use of prior authorization and utilization review processes by |
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private health benefit plan issuers in this state, as provided by |
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Section 4.02 of this article, and propose reforms under that |
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section related to the transparency of and improving patient |
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outcomes under the prior authorization and utilization review |
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processes used by private health benefit plan issuers in this |
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state. |
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(b) The joint interim committee shall be composed of four |
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senators appointed by the lieutenant governor and four members of |
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the house of representatives appointed by the speaker of the house |
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of representatives. |
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(c) The lieutenant governor and speaker of the house of |
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representatives shall each designate a co-chair from among the |
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joint interim committee members. |
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(d) The joint interim committee shall convene at the joint |
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call of the co-chairs. |
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(e) The joint interim committee has all other powers and |
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duties provided to a special or select committee by the rules of the |
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senate and house of representatives, by Subchapter B, Chapter 301, |
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Government Code, and by policies of the senate and house committees |
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on administration. |
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SECTION 4.02. INTERIM STUDY REGARDING PRIOR AUTHORIZATION |
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AND UTILIZATION REVIEW PROCESSES. (a) The joint interim committee |
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created by Section 4.01 of this article shall study data and other |
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information available from the Texas Department of Insurance, the |
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office of public insurance counsel, or other sources the committee |
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determines relevant to examine and analyze the transparency of and |
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improving patient outcomes under the prior authorization and |
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utilization review processes used by private health benefit plan |
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issuers in this state. |
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(b) The joint interim committee shall propose reforms based |
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on the study required under Subsection (a) of this section to |
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improve the transparency of and patient outcomes under prior |
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authorization and utilization review processes in this state. |
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(c) The joint interim committee shall prepare a report of |
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the findings and proposed reforms. |
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SECTION 4.03. COMMITTEE FINDINGS AND PROPOSED REFORMS. (a) |
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Not later than December 1, 2020, the joint interim committee |
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created under Section 4.01 of this article shall submit to the |
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lieutenant governor, the speaker of the house of representatives, |
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and the governor the report prepared under Section 4.02 of this |
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article. The joint interim committee shall include in its report |
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recommendations of specific statutory and regulatory changes that |
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appear necessary from the committee's study under Section 4.02 of |
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this article. |
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(b) Not later than the 60th day after the effective date of |
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this Act, the lieutenant governor and speaker of the house of |
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representatives shall appoint the members of the joint interim |
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committee in accordance with Section 4.01 of this article. |
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SECTION 4.04. ABOLITION OF COMMITTEE. The joint interim |
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committee created under Section 4.01 of this article is abolished |
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and this article expires December 15, 2020. |
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Explanation: The addition is necessary to provide for the |
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interim study of the use of prior authorization and utilization |
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review processes by health benefit plan issuers in this state and |
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the proposal of reforms to improve the transparency of and patient |
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outcomes under those processes. |