By Averitt H.B. No. 1610 77R6599 T A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to data on mandated health benefits and mandated offers of 1-3 coverage that must be collected and reported by health benefit plan 1-4 issuers. 1-5 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-6 SECTION 1. Chapter 38, Insurance Code is amended by adding 1-7 new Subchapter F, Data Collecting and Reporting Relating to 1-8 Mandated Health Benefits and Mandated Offers of Coverage, to read 1-9 as follows: 1-10 Sec. 38.208. This subchapter applies to any issuer of a 1-11 health benefit plan that is subject to this code that provides 1-12 benefits for medical or surgical expenses incurred as a result of a 1-13 health condition, accident, or sickness, including an individual, 1-14 group, blanket, or franchise insurance policy or insurance 1-15 agreement, a group hospital service contract, or an individual or 1-16 group evidence of coverage or similar coverage document. 1-17 Sec. 38.209. The commissioner shall require a health benefit 1-18 plan issuer to collect and report cost and utilization data for 1-19 each mandated health benefit and mandated offer designated by the 1-20 commissioner. 1-21 Sec. 38.210. The commissioner shall designate by rule: 1-22 (1) the issuers of health benefit plans that must 1-23 collect and report data based on the annual dollar amounts of Texas 1-24 premium collected by the health benefit plan issuer; 2-1 (2) the specific mandated health benefits and mandated 2-2 offers of coverage for which data must be collected; 2-3 (3) a description of the data that must be collected; 2-4 (4) the beginning and ending dates of the reporting 2-5 periods, which shall be no less than every two years; 2-6 (5) the date following the end of the reporting period 2-7 by which the report shall be submitted to the commissioner; 2-8 (6) the detail and form in which the report shall be 2-9 submitted; and 2-10 (7) any other reasonable requirements that the 2-11 commissioner determines are necessary to determine the impact of 2-12 mandated benefits and mandated offers of coverage for which data 2-13 collection and reporting is required. 2-14 Sec. 308.211. The commissioner shall not require reporting 2-15 of data: 2-16 (1) that could reasonably be used to identify a 2-17 specific enrollee in a health benefit plan; or 2-18 (2) in any way that violates confidentiality 2-19 requirements of state or federal law applicable to an enrollee in a 2-20 health benefit plan. 2-21 Sec 308.212. Each health benefit plan issuer shall maintain 2-22 at its principle place of business all data collected pursuant to 2-23 this subchapter, including information and supporting documentation 2-24 that demonstrates that the report submitted to the commissioner are 2-25 complete and accurate. Each health benefit plan issuer shall make 2-26 this information and any supporting documentation available to the 2-27 commissioner upon request. 3-1 SECTION 2. This Act takes effect September 1, 2001.