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  By: Laubenberg H.J.R. No. 109
 
 
 
A JOINT RESOLUTION
  proposing a constitutional amendment authorizing certain payment
  for health care services and prohibiting requiring participation in
  a mandatory health care system.
         BE IT RESOLVED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Article III, Texas Constitution, is amended by
  adding Section 68 to read as follows:
         Sec. 68.  (a)  In this section:
               (1)  "Direct payment" means any payment for health care
  services provided to an individual or dependent of the individual
  that is made by the individual or an employer who pays any portion
  of the service on behalf of the individual.
               (2)  "Health care system" means any public or private
  entity, including a health insurer or health benefit plan, that for
  the benefit of its participants manages, enrolls individuals in, or
  makes full or partial payment for health care services.
         (b)  This state, an agency of this state, or a health care
  system may not:
               (1)  impos
  e a fine or penalty on an individual or the
  individual's employer for direct payment for a health care service;
               (2)  prohibit a health care provider from, or fine or
  penalize a health care provider for, billing for or accepting
  direct payment for a health care service; or
               (3)  directly or indirectly require an individual,
  employer, or health care provider to participate in a health care
  system, including imposing a fine or penalty for failure to
  participate.
         (c)  This section does not:
               (1)  affect which health care services a health care
  provider or hospital is required to provide;
               (2)  affect which health care services are permitted by
  law;
               (3)  prohibit care provided pursuant to a workers'
  compensation claim.
         (d)  This section may not be construed to prohibit a
  negotiated provision in any insurance contract, network agreement,
  or other provider agreement contractually limiting copayments,
  coinsurance, deductibles, or other patient charges.
         SECTION 2.  This proposed constitutional amendment shall be
  submitted to the voters at an election to be held November 5, 2013.
  The ballot shall be printed to permit voting for or against the
  proposition: "A constitutional amendment authorizing certain
  payment for health care services and prohibiting requiring
  participation in a health care system."