89R9569 DNC-D
 
  By: Middleton, Kolkhorst S.B. No. 1276
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the regulation of risk pools primarily consisting of
  political subdivisions.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Subtitle C, Title 5, Local Government Code, is
  amended by adding Chapter 172A to read as follows:
  CHAPTER 172A.  GENERAL PROVISIONS FOR RISK POOLS PRIMARILY
  CONSISTING OF POLITICAL SUBDIVISIONS
         Sec. 172A.001.  APPLICABILITY OF CHAPTER. This chapter
  applies only to a risk pool that primarily consists of political
  subdivisions.
         Sec. 172A.002.  CONFLICT OF LAWS. To the extent of a
  conflict between this chapter and other law, this chapter controls.
         Sec. 172A.003.  RULES. The commissioner of insurance may
  adopt rules to implement this chapter.
         Sec. 172A.004.  APPLICABILITY OF INSURANCE LAWS. The
  following insurance laws apply to coverage provided by a risk pool
  subject to this chapter:
               (1)  Title 4, Insurance Code;
               (2)  Subtitle C, Title 5, Insurance Code; and
               (3)  Chapter 830, Insurance Code.
         Sec. 172A.005.  REQUIRED DISCLOSURES. A risk pool that
  provides health or property and casualty coverage to the members of
  the pool must annually provide to risk pool members:
               (1)  a written disclosure that the risk pool is not
  insurance and is not regulated in the same manner as insurers
  providing similar coverage;
               (2)  a copy of the declarations page of the coverage
  provided under the risk pool that:
                     (A)  lists and identifies each type of coverage
  provided under the risk pool; and
                     (B)  describes the process for filing claims and
  appeals; 
               (3)  a copy of the risk pool's budget for the preceding
  risk pool year; 
               (4)  a report stating the financial status of the risk
  pool; and 
               (5)  a report with a written explanation of each claim
  denial made by the risk pool in the preceding risk pool year.
         Sec. 172A.006.  ENFORCEMENT. (a)  The commissioner of
  insurance and the Texas Department of Insurance may enforce this
  chapter against a risk pool in the same manner as the department
  enforces an insurance law against an insurer under Subtitle B,
  Title 2, Insurance Code.
         (b)  A person may bring an action against a risk pool in
  accordance with a law authorizing a private action under Subtitle
  C, Title 5, Insurance Code.  Governmental immunity of a risk pool to
  suit and from liability is waived to the extent of liability created
  by this subsection.
         SECTION 2.  Section 172A.004, Local Government Code, as
  added by this Act, applies only to a contract entered into on or
  after January 1, 2026.
         SECTION 3.  This Act takes effect September 1, 2025.