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89(R) HB 5402 - Engrossed version - Bill Text
89R11141 SCL-D
By: Geren
H.B. No. 5402
A BILL TO BE ENTITLED
AN ACT
relating to fiscal impact statements for legislation imposing
mandates on health benefit plan issuers.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Chapter 314, Government Code, is amended by
adding Section 314.006 to read as follows:
Sec.
314.006.
FISCAL IMPACT STATEMENT FOR HEALTH BENEFIT
PLAN MANDATES. (a) In this section:
(1)
"Enrollee" means an individual who is enrolled in
a health benefit plan, including a covered dependent.
(2)
"Health benefit plan issuer" means an insurer,
health maintenance organization, or other entity authorized to
provide health benefits coverage under the laws of this state.
(3)
"Health care provider" means a physician or other
person who is licensed, certified, or otherwise authorized to
provide a health care service in this state.
(b)
The board shall prepare a fiscal impact statement for
each bill or joint resolution that requires a health benefit plan
issuer to provide new health benefits, increase payments to health
care providers, or implement new contractual or administrative
requirements.
(c)
The fiscal impact statement must estimate the effect of
the bill or joint resolution on health benefit plan issuer
expenditures and on premiums and other costs paid by enrollees.
(d)
The fiscal impact statement must be attached to the bill
or joint resolution immediately following:
(1) the fiscal note attached under Section 314.003; or
(2) another statement attached under this chapter.
SECTION 2. Section 314.006, Government Code, as added by
this Act, applies only to a bill or joint resolution filed on or
after the effective date of this Act.
SECTION 3. This Act takes effect September 1, 2025.