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Highlights 77th Texas Legislature - Senate

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Insurance Fraud and Health Care - H.B. 1562<br />

by Representatives Thompson and Chavez<br />

<strong>Senate</strong> Sponsor: Senator Moncrief<br />

Health care fraud and abuse cost the national health care system billions annually.<br />

INSURANCE<br />

77 th <strong>Texas</strong> <strong>Legislature</strong><br />

Sets forth requirements for the investigation of insurance fraud, adoption of fraud plans by insurers and<br />

coordinated enforcement efforts with the attorney general, Medicaid, and the <strong>Texas</strong> Department of<br />

Insurance.<br />

Mandated Benefits and Health Insurance - H.B. 1610<br />

by Representatives Averitt and Miller<br />

<strong>Senate</strong> Sponsor: Senator Fraser<br />

The impact of mandated benefits on the health industry relating to general cost and premium increases has<br />

not been studied adequately as current law does not require a health benefit plan issuer to collect and<br />

report cost and utilization data. Without accurate data on the mandates, the state cannot study their<br />

impact.<br />

Requires the commissioner of insurance to require health benefit plan issuers to collect and report certain<br />

data for specific information.<br />

Requires each health benefit plan issuer to maintain at its principal place of business all data collected in<br />

order to satisfy certain provisions.<br />

Brain Dysfunction – Disease or Injury? - H.B. 1676<br />

by Representatives Burnam and Ehrhardt<br />

<strong>Senate</strong> Sponsor: Senator Van de Putte<br />

Each year thousands of Texans sustain brain injuries or are diagnosed with neurological diseases that<br />

require health care services. Survivors of these injuries or those diagnosed with neurological diseases can<br />

lead meaningful lives with proper health care, medical techniques, and rehabilitation services. However,<br />

not all health benefit plans cover these injuries, basing their denial of coverage on their belief these<br />

conditions are based on mental rather than physical illness.<br />

Prohibits insurers from excluding coverage for survivors of brain injuries and individuals diagnosed with<br />

neurological diseases for therapy and neurological care.<br />

Requires the Sunset Advisory Commission to conduct a study to make certain determinations and to report<br />

its findings to the legislature.<br />

<strong>Senate</strong> Research Center 176

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