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A BILL TO BE ENTITLED
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AN ACT
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relating to reporting on the use of telemedicine medical services |
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and telehealth services among participating providers of certain |
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managed care plans. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subtitle C, Title 8, Insurance Code, is amended |
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by adding Chapter 1276 to read as follows: |
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CHAPTER 1276. REPORTING REQUIREMENTS |
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SUBCHAPTER A. GENERAL PROVISIONS |
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Sec. 1276.001. DEFINITIONS. In this chapter: |
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(1) "Participating provider" means a physician or |
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health care provider who contracts with a health benefit plan |
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issuer or administrator to provide medical care or health care to |
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enrollees in a health benefit plan. |
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(2) "Telehealth service" and "telemedicine medical |
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service" have the meanings assigned by Section 111.001, Occupations |
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Code. |
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Sec. 1276.002. APPLICABILITY OF CHAPTER. This chapter |
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applies only to: |
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(1) a health benefit plan offered by a health |
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maintenance organization operating under Chapter 843; |
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(2) a preferred provider benefit plan, including an |
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exclusive provider benefit plan, offered by an insurer under |
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Chapter 1301; and |
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(3) an administrator of a health benefit plan offered |
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under Chapter 1551, 1575, or 1579. |
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Sec. 1276.003. RULES. The commissioner may adopt rules |
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necessary to implement this chapter. |
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SUBCHAPTER B. NETWORK ADEQUACY REPORTING |
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Sec. 1276.051. ANNUAL REPORT ON USE OF TELEMEDICINE MEDICAL |
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AND TELEHEALTH SERVICES FOR NETWORK. A health benefit plan issuer |
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or administrator shall submit an annual report to the department in |
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the form and manner prescribed by commissioner rule on whether each |
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participating provider for a health benefit plan issued or |
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administered by the issuer or administrator provides services |
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primarily: |
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(1) in person in the area in which the plan's enrollees |
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reside; or |
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(2) through the use of telemedicine medical services |
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or telehealth services. |
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SECTION 2. This Act takes effect September 1, 2023. |