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SENATE RESOLUTION
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BE IT RESOLVED by the House of Representatives of the State |
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of Texas, 86th Legislature, Regular Session, 2019, That House |
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Rule 13, Section 9(a), be suspended in part as provided by House |
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Rule 13, Section 9(f), to enable the conference committee |
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appointed to resolve the differences on Senate Bill 1742 |
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(physician and health care provider directories, |
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preauthorization, utilization review, independent review, and |
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peer review for certain health benefit plans and workers' |
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compensation coverage) to consider and take action on the |
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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 |
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either the house or senate version of the bill by adding the |
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following new 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) |
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A joint interim committee is created to study, review, and report |
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on the use of prior authorization and utilization review |
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processes by private health benefit plan issuers in this state, |
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as provided by Section 4.02 of this article, and propose reforms |
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under that section related to the transparency of and improving |
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patient outcomes under the prior authorization and utilization |
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review processes used by private health benefit plan issuers in |
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this 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 |
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house 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 |
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joint 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 |
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the senate and house of representatives, by Subchapter B, Chapter |
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301, Government Code, and by policies of the senate and house |
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committees on administration. |
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SECTION 4.02. INTERIM STUDY REGARDING PRIOR |
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AUTHORIZATION AND UTILIZATION REVIEW PROCESSES. (a) The joint |
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interim committee created by Section 4.01 of this article shall |
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study data and other information available from the Texas |
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Department of Insurance, the office of public insurance counsel, |
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or other sources the committee determines relevant to examine and |
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analyze the transparency of and improving patient outcomes under |
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the prior authorization and utilization review processes used by |
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private health benefit plan issuers in this state. |
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(b) The joint interim committee shall propose reforms |
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based on the study required under Subsection (a) of this section |
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to 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. |
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(a) 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 |
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representatives, and the governor the report prepared under |
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Section 4.02 of this article. The joint interim committee shall |
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include in its report recommendations of specific statutory and |
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regulatory changes that appear necessary from the committee's |
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study under Section 4.02 of this article. |
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(b) Not later than the 60th day after the effective date |
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of 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 |
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patient outcomes under those processes. |