TITLE: Relating to certain reimbursement rates offered by health benefit plan administrators for certain health coverage plans.

SUMMARY: Relating to certain reimbursement rates offered by health benefit plan administrators for certain health coverage plans.

FULL TEXT:
AN ACT relating to certain reimbursement rates offered by health benefit plan administrators for certain health coverage plans. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter C, Chapter 1579, Insurance Code, is amended by adding Section 1579.109 to read as follows: Sec. 1579.109. LIMITATIONS. The trustee may not contract for or provide a health coverage plan that provides a reimbursement rate for a health care service that is less than the greater of the rate paid by the state Medicaid program or the federal Medicare program for that service. SECTION 2. Section 1579.109, Insurance Code, as added by this Act, applies only to a health coverage plan provided under Chapter 1579, Insurance Code, beginning with the 2014-2015 plan year. A plan year before 2014-2015 is governed by the law as it existed immediately before September 1, 2014, and that law is continued in effect for that purpose. SECTION 3. This Act takes effect September 1, 2013.