87R5872 MCF-F
 
  By: Johnson, Schwertner S.B. No. 493
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to health care liability insurance for certain nursing
  facilities.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subchapter B, Chapter 242, Health and Safety
  Code, is amended by adding Section 242.0337 to read as follows:
         Sec. 242.0337.  LIABILITY INSURANCE COVERAGE REQUIRED. (a)  
  In this section:
               (1)  "Governmental unit" has the meaning assigned by
  Section 101.001, Civil Practice and Remedies Code.
               (2)  "Health care liability claim" has the meaning
  assigned by Section 74.001, Civil Practice and Remedies Code.
         (b)  A nursing facility licensed under this chapter shall
  maintain professional liability insurance coverage against the
  liability of the facility or the facility's employees for a health
  care liability claim.
         (c)  The insurance coverage maintained by a nursing facility
  under this section:
               (1)  must provide coverage with minimum annual limits
  of $300,000 per occurrence and $1 million aggregate, except as
  provided by Subsection (d);
               (2)  must be written on an occurrence basis;
               (3)  must be issued by:
                     (A)  an insurer authorized to write professional
  liability insurance in this state;
                     (B)  the Texas Medical Liability Insurance
  Underwriting Association established under Chapter 2203, Insurance
  Code; or
                     (C)  an eligible surplus lines insurer in
  accordance with Chapter 981, Insurance Code;
               (4)  may not include the cost of defense of a claim
  under the coverage in the coverage's liability limit; and
               (5)  must be in a form acceptable to the commission.
         (d)  A nursing facility owned and operated by a governmental
  unit is required to maintain insurance coverage only to the extent
  of the governmental unit's liability under Section 101.023, Civil
  Practice and Remedies Code.
         (e)  A management company that manages a nursing facility
  owned by a governmental unit shall maintain professional liability
  insurance coverage against the liability of the management company
  or the company's employees for a health care liability claim
  covered as described by Subsection (c).  The coverage required by
  this subsection is in addition to the insurance coverage maintained
  by the facility under Subsection (b).
         (f)  To the extent permitted by federal law and applicable
  state and federal rules, the cost of insurance coverage required
  under this section is an allowable cost for reimbursement under the
  state Medicaid program.
         SECTION 2.  This Act takes effect September 1, 2021.