|
|
|
|
AN ACT
|
|
relating to abolishing the Texas Health Insurance Pool. |
|
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
|
SECTION 1. DEFINITIONS. In this Act: |
|
(1) "Board" means the board of directors of the pool. |
|
(2) "Commissioner" means the commissioner of |
|
insurance. |
|
(3) "Department" means the Texas Department of |
|
Insurance. |
|
(4) "Health benefit exchange" has the meaning assigned |
|
by Section 1369.201, Insurance Code. |
|
(5) "Pool" means the Texas Health Insurance Pool |
|
established under Chapter 1506, Insurance Code, as that chapter |
|
existed before its repeal by this Act. |
|
SECTION 2. PLAN FOR DISSOLUTION. As soon as practicable |
|
after the effective date of this Act, the board shall: |
|
(1) develop a plan for: |
|
(A) dissolving the board and the pool after the |
|
pool's obligations to issue and continue health benefit coverage |
|
terminate under Sections 3 and 4 of this Act; and |
|
(B) transferring to the commissioner and the |
|
department: |
|
(i) any continuing obligations of the board |
|
and the pool; |
|
(ii) any assets of the pool; |
|
(iii) any rights of the board or the pool |
|
that accrued before the dissolution of the board or the pool or that |
|
accrue with respect to coverage issued by the pool before the pool's |
|
dissolution; and |
|
(iv) any authority previously held by the |
|
board the continuation of which is necessary or appropriate; and |
|
(2) submit the plan to the commissioner for the |
|
commissioner's approval. |
|
SECTION 3. ACCEPTANCE OF ENROLLEES. The latest date on |
|
which the pool may issue health benefit coverage is the later of: |
|
(1) December 31, 2013; or |
|
(2) the earliest date on which health benefit coverage |
|
is reasonably available on a guaranteed issue basis to each class of |
|
individuals eligible for health benefit coverage through the pool |
|
immediately before the effective date of this Act, as determined by |
|
the commissioner. |
|
SECTION 4. TERMINATION OF POOL COVERAGE. Health benefit |
|
coverage that is issued to an individual by the pool and that is |
|
otherwise in force terminates on the later of: |
|
(1) January 1, 2014; or |
|
(2) the earliest date on which the individual: |
|
(A) is enrolled in comparable health benefit |
|
coverage; or |
|
(B) could reasonably be expected to have obtained |
|
health benefit coverage on a guaranteed issue basis, as determined |
|
by the commissioner. |
|
SECTION 5. EXERCISE OF POOL'S RECOVERY RIGHTS. The |
|
department may exercise any authority to recover overpayments or |
|
other amounts the pool would have been authorized to recover or |
|
collect had the pool not been dissolved, including amounts |
|
recoverable under the pool's subrogation rights. |
|
SECTION 6. TRANSFER OF CERTAIN FUNDS; ASSESSMENT AUTHORITY |
|
CONTINUED. (a) Any fund in which money belonging to the pool is |
|
kept and any other assets of the pool shall be transferred to the |
|
department on dissolution of the pool. That money and any other |
|
money recovered or otherwise collected by the department under this |
|
Act on behalf of the pool shall be used by the department to satisfy |
|
obligations of the pool in accordance with this Act, Chapter 1506, |
|
Insurance Code, as that chapter existed before its repeal by this |
|
Act, and the dissolution plan. |
|
(b) The authority of the board to make assessments under |
|
Subchapter F, Chapter 1506, Insurance Code, as that subchapter |
|
existed before its repeal by this Act, is continued and may be |
|
exercised by the commissioner until the commissioner determines |
|
that all financial obligations of the board and the pool have been |
|
satisfied. |
|
(c) Money collected by the department under Subsections (a) |
|
and (b) of this section shall be deposited to an account in the |
|
Texas Treasury Safekeeping Trust Company to be used for the |
|
purposes described by this Act. The money deposited to the account |
|
may be used to pay fees for the Texas Treasury Safekeeping Trust |
|
Company account. The department may transfer money into the |
|
treasury local operating fund to disburse the money as required by |
|
this Act. |
|
(d) When the commissioner determines that all financial |
|
obligations of the board and the pool have been satisfied, the |
|
commissioner shall make a final accounting with respect to pool |
|
finances and: |
|
(1) make any necessary final assessment under this |
|
section; or |
|
(2) refund any surplus assessments or other surplus |
|
money collected on behalf of the pool, other than money described by |
|
Subsection (e) of this section: |
|
(A) on a pro rata basis to the health benefit plan |
|
issuers that paid the assessments to the extent possible; or |
|
(B) on another equitable basis to the extent pro |
|
rata refunds are not possible. |
|
(e) If money paid or payable under Subsection (m), Section |
|
843.342 and Subsection (l), Section 1301.137, Insurance Code, is no |
|
longer necessary to finance premium discounts as prescribed by |
|
Section 1506.260, Insurance Code, as that section existed |
|
immediately before the effective date of this Act, the money shall |
|
be distributed and used as follows: |
|
(1) $5 million shall be distributed to the corporation |
|
established under Chapter 182, Health and Safety Code, to be used |
|
for a purpose provided by that chapter; and |
|
(2) any money available after the amount required by |
|
Subdivision (1) of this subsection has been distributed in |
|
accordance with that subdivision shall be distributed to the fund |
|
established under Subchapter F, Chapter 1508, Insurance Code, to be |
|
used: |
|
(A) before January 1, 2014, for a purpose |
|
provided by that subchapter; and |
|
(B) on and after January 1, 2014, for any other |
|
purpose authorized by the commissioner by rule to improve access to |
|
health benefit coverage for individuals without coverage. |
|
(f) Money paid or payable under Subsection (m), Section |
|
843.342 and Subsection (l), Section 1301.137, Insurance Code, is |
|
subject to audit by the State Auditor's Office. |
|
SECTION 7. DELAYED IMPLEMENTATION. The commissioner by |
|
rule may delay the implementation of any part of Sections 1 through |
|
6 of this Act or the pool dissolution plan established under this |
|
Act if: |
|
(1) the guaranteed issue of health benefit coverage is |
|
delayed; |
|
(2) the operation of a health benefit exchange in this |
|
state is delayed; or |
|
(3) the commissioner determines that health benefit |
|
coverage expected to be available on a guaranteed issue basis to a |
|
class of individuals eligible for coverage under Chapter 1506, |
|
Insurance Code, immediately before the effective date of this Act, |
|
is not reasonably available to those individuals in this state. |
|
SECTION 8. REPEALER. (a) Effective January 1, 2014, the |
|
following laws are repealed: |
|
(1) Subsections (a-1) and (a-2), Section 1506.007, |
|
Insurance Code; |
|
(2) Subsections (b) and (c), Section 1506.205, |
|
Insurance Code; |
|
(3) Subsection (b), Section 1251.255, Insurance Code; |
|
and |
|
(4) Section 1271.305, Insurance Code. |
|
(b) Effective September 1, 2015, Chapter 1506, Insurance |
|
Code, is repealed. |
|
SECTION 9. EFFECTIVE DATE. This Act takes effect |
|
immediately if it receives a vote of two-thirds of all the members |
|
elected to each house, as provided by Section 39, Article III, Texas |
|
Constitution. If this Act does not receive the vote necessary for |
|
immediate effect, this Act takes effect September 1, 2013. |
|
|
|
|
|
|
|
|
______________________________ |
______________________________ |
|
President of the Senate |
Speaker of the House |
|
|
I hereby certify that S.B. No. 1367 passed the Senate on |
|
April 9, 2013, by the following vote: Yeas 31, Nays 0; and that |
|
the Senate concurred in House amendment on May 21, 2013, by the |
|
following vote: Yeas 31, Nays 0. |
|
|
|
|
______________________________ |
|
Secretary of the Senate |
|
|
I hereby certify that S.B. No. 1367 passed the House, with |
|
amendment, on May 16, 2013, by the following vote: Yeas 126, |
|
Nays 1, two present not voting. |
|
|
|
|
______________________________ |
|
Chief Clerk of the House |
|
|
|
|
|
Approved: |
|
|
|
______________________________ |
|
Date |
|
|
|
|
|
______________________________ |
|
Governor |