HB388 - Relating to a uniform coordination of benefits questionnaire for health benefit plans.

      H.B. No. 388         AN ACT   relating to a uniform coordination of benefits questionnaire for   health benefit plans.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Chapter 1203, Insurance Code, is amended by   adding Subchapter D to read as follows:   SUBCHAPTER D. COORDINATION OF BENEFITS QUESTIONNAIRE           Sec.   1203.151.     APPLICABILITY OF SUBCHAPTER. (a) This   subchapter applies only to a health benefit plan that provides   benefits for medical or surgical expenses incurred as a result of a   health condition, accident, or sickness, including an individual,   group, blanket, or franchise insurance policy or insurance   agreement, a group hospital service contract, or an individual or   group evidence of coverage or similar coverage document that is   issued by:                 (1)  an insurance company;                 (2)     a group hospital service corporation operating   under Chapter 842;                 (3)     a health maintenance organization operating under   Chapter 843;                 (4)     an approved nonprofit health corporation that   holds a certificate of authority under Chapter 844;                 (5)     a multiple employer welfare arrangement that holds   a certificate of authority under Chapter 846;                 (6)     a stipulated premium company operating under   Chapter 884;                 (7)  a Lloyd's plan operating under Chapter 941; or                 (8)  an exchange operating under Chapter 942.           (b)     Notwithstanding any other law, this subchapter applies   to:                 (1)     a small employer health benefit plan subject to   Chapter 1501, including coverage provided through a health group   cooperative under Subchapter B of that chapter;                 (2)     a standard health benefit plan issued under   Chapter 1507;                 (3)  a basic coverage plan under Chapter 1551;                 (4)  a basic plan under Chapter 1575;                 (5)  a primary care coverage plan under Chapter 1579;                 (6)     a plan providing basic coverage under Chapter   1601;                 (7)     alternative health benefit coverage offered by a   subsidiary of the Texas Mutual Insurance Company under Subchapter   M, Chapter 2054;                 (8)     group health coverage made available by a school   district in accordance with Section 22.004, Education Code;                 (9)     the state Medicaid program, including the Medicaid   managed care program operated under Chapter 540, Government Code;                 (10)     the child health plan program under Chapter 62,   Health and Safety Code;                 (11)     a regional or local health care program operated   under Section 75.104, Health and Safety Code; and                 (12)     a self-funded health benefit plan sponsored by a   professional employer organization under Chapter 91, Labor Code.           Sec.   1203.152.     CREATION OF UNIFORM COORDINATION OF BENEFITS   QUESTIONNAIRE. In collaboration with appropriate stakeholders,   the commissioner shall adopt rules establishing a uniform   coordination of benefits questionnaire to be used by all health   benefit plan issuers in this state.           Sec.   1203.153.     UNIFORM COORDINATION OF BENEFITS   QUESTIONNAIRE REQUIRED. Each health benefit plan issuer that   issues a health benefit plan that includes a coordination of   benefits provision shall use the uniform coordination of benefits   questionnaire established under Section 1203.152 and make the   questionnaire available to health care providers as appropriate.          SECTION 2.  (a)  Not later than January 1, 2026, the   commissioner of insurance shall adopt rules establishing the   uniform coordination of benefits questionnaire under Section   1203.152, Insurance Code, as added by this Act.          (b)  The changes in law made by this Act apply only to the use   of a coordination of benefits questionnaire on or after February 1,   2026.          SECTION 3.  This Act takes effect September 1, 2025.       ______________________________ ______________________________      President of the Senate Speaker of the House                   I certify that H.B. No. 388 was passed by the House on April   29, 2025, by the following vote:  Yeas 141, Nays 1, 1 present, not   voting.     ______________________________   Chief Clerk of the House                 I certify that H.B. No. 388 was passed by the Senate on May   25, 2025, by the following vote:  Yeas 31, Nays 0.     ______________________________   Secretary of the Senate       APPROVED:  _____________________                      Date                           _____________________                    Governor