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Highlights 77th Texas Legislature - Senate

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Long-Term Care Insurance - H.B. 2482<br />

by Representatives Kitchen and Thompson<br />

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

INSURANCE<br />

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

Long-term care is the assistance needed for an extended period for those whose activities, including daily<br />

living, dressing, eating, and bathing, have been impaired by illness, including Alzheimer’s disease.<br />

Directs the commissioner of insurance to adopt rules to stabilize long-term care insurance rates, taking into<br />

consideration nationally recognized models of rate stabilization.<br />

Valet Parking and Liability Insurance - H.B. 2495<br />

by Representative Haggerty<br />

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

Requires the owner or operator of a valet parking service to provide evidence of financial responsibility.<br />

Requires certain limits of liability for both bodily and property damages for the comprehensive general<br />

liability insurance and the garage insurance.<br />

Health Maintenance Organizations and Network Failures - H.B. 2828<br />

by Representative Smithee<br />

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

In spite of legislation passed by the 76 th <strong>Legislature</strong> regarding health maintenance organizations (HMOs)<br />

and their responsibilities in terms of providing information to physician networks, it was determined during<br />

the interim that more needed to be done to modify the statute.<br />

Modifies provisions relating to the complaint and reporting requirements of a written agreement between a<br />

delegated entity and an HMO and provides penalties for failure to comply with the agreement.<br />

Requires HMOs to provide accurate descriptions of plans and conditions, including restrictions, among<br />

certain conditions, in order to make informed decisions regarding the selection of health care plans.<br />

Requires the description to be in a format understandable, readable, and complete with certain conditions<br />

as prescribed by the commissioner of insurance.<br />

Managed Care Entities to Provide Details of Reimbursement Amounts - H.B. 2831<br />

by Representative Smithee<br />

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

Requires that, on the written request of an out-of-network health care provider, managed care entities<br />

including health maintenance organizations, preferred provider organizations, insurance companies and<br />

other such organizations to provide a written description of the factors considered in determining the<br />

amount of reimbursement that an out-of-network health care provider may receive for goods or services<br />

provided to a person enrolled in or insured under the entity’s managed care plan.<br />

<strong>Senate</strong> Research Center 178

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