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Amend CSHB 1236 (house committee report) as follows:
(1) Strike SECTION 4 of the bill (page 3, lines 11-16).
(2) Add the following appropriately numbered SECTIONS to the bill:
SECTION ____. Subchapter A, Chapter 843, Insurance Code, is amended by adding Section 843.011 to read as follows:
Sec. 843.011. EMERGENCY SERVICE DETERMINATIONS. Nothing in this subchapter prohibits a health maintenance organization from considering diagnosis codes to detect fraud or abuse.
SECTION ____. Subchapter D, Chapter 1301, Insurance Code, is amended by adding Section 1301.166 to read as follows:
Sec. 1301.166. EMERGENCY SERVICE DETERMINATIONS. Nothing in this subchapter prohibits a preferred provider benefit plan from considering diagnosis codes to detect fraud or abuse.
SECTION ____. Subchapter A, Chapter 4201, Insurance Code, is amended by adding Section 4201.005 to read as follows:
Sec. 4201.005. EMERGENCY SERVICE DETERMINATIONS. Nothing in this subchapter prohibits a payor from considering diagnosis codes to detect fraud or abuse.
(3) Renumber SECTIONS of the bill appropriately.