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5 Document(s) [ Subject: Texas%20Mutual%20Insurance ]

Committee: House Insurance
Title: Interim Report
Subjects: Consumer protection | Emergency medical services | Health insurance | Insurance industry | Prescription drug costs | Prescription drugs | Rebates | Texas Mutual Insurance |
Library Call Number:
Session: 87th R.S. (2021)
Online version: View report [113 pages  File size: 2,704 kb]
Charges: This report should address the charges below.
1. Monitor the agencies and programs under the Committee’s jurisdiction and oversee the implementation of relevant legislation passed by the 87th Legislature. Conduct active oversight of all associated rulemaking and other governmental actions taken to ensure the intended legislative outcome of all legislation, including the following:
  • HB 18, 87th R.S., relating to the establishment of the prescription drug savings program for certain uninsured individuals;
  • HB 3459, 87th R.S., relating to preauthorization requirements for certain health care services and utilization review for certain health benefit plans;
  • HB 3752, 87th R.S., relating to the offering of health benefit coverage by subsidiaries of the Texas Mutual Insurance Company; and
  • HB 3924, 87th R.S., relating to health benefits offered by certain nonprofit agricultural organizations.
2. Review existing state laws, administrative regulations, and agency practices to identify barriers to competition in the insurance marketplace. Examine existing business practices in the industry to determine if additional laws or regulations are needed to promote competition, lower premiums, and protect consumers.
3. Monitor the implementation, compliance, and enforcement of legislation related to freestanding emergency rooms to determine whether patients are adequately protected and if further safeguards and disclosures are needed.
4. Review Texas' insurance anti-rebating laws and model legislation related to rebates. Make recommendations for legislation that would preserve the purpose of the current statute while allowing certain services for and benefits to insurance consumers.
5. Study the impacts of the U.S. Supreme Court’s 2020 decision in Rutledge v. Pharmaceutical Care Management Association and the federal No Surprises Act (2021 Consolidated Appropriations Act, Public Law No. 116-620) on the Texas insurance market.
Committee: House Insurance
Title: Interim Report
Subjects: Assisted living facilities | Fraud | Health care provider networks | Health insurance | Insurance industry | Insurance, Texas Department of | Medical bill balance billing | Prompt payment of insurance claims | Property insurance | Texas Mutual Insurance | Texas Windstorm Insurance Association | Windstorm insurance | Workers Compensation Commission, Texas | Workers' compensation |
Library Call Number: L1836.84 In7
Session: 84th R.S. (2015)
Online version: View report [87 pages]
Charges: This report should address the charges below.
1. Examine available data on the cost of weather-related property insurance claims and the incidence of litigation of these claims. Study whether these data reveal trends or patterns over time and what the drivers of these trends might be. Identify impacts on the property insurance market and on consumers from claims litigation.
2. Examine the effectiveness of previous legislative efforts to encourage transparency and adequacy of health care networks, and of legislation to protect consumers from the negative impacts of disputes over out-of-network services. Study whether enhancements in transparency or regulation are necessary.
3. Evaluate the statutory penalty calculations under Texas's prompt payment laws regarding health care claims. Include an analysis of whether the proper benchmarks are used to establish penalties commensurate with an improper payment and the effect of the abolition of the Texas Health Insurance Pool on the use of funds collected under the statute.
4. Study the Texas credit for reinsurance statutes and how they affect market capacity, the cost of regulatory compliance, and the prospect of federal preemption of the state's ability to regulate reinsurance. Examine how alternative credit for reinsurance statutes in other jurisdictions function, including in the regulatory and legal systems of those jurisdictions.
5. Monitor the implementation of SB 900 (84R), including the rulemaking process by the Texas Department of Insurance and the adoption of an updated plan of operation by the Texas Windstorm Insurance Association.
6. Examine the effectiveness of residual market programs in the insurance industry in Texas, as well as approaches used in other states.
7. Review the implementation of HB 2929, 83rd R.S.. Examine the bill's impact and compliance among affected health plans. Examine the costs incurred by the Employees Retirement System, Teacher Retirement System, and any other affected state health plans as a result of the legislation.
8. Review current statutory provisions regarding the prosecution of workers' compensation insurance fraud. Examine ways to maintain or enhance fraud prosecution while ensuring a fair process for all parties involved.
9. Conduct legislative oversight and monitoring of the agencies and programs under the committee’s jurisdiction and the implementation of relevant legislation passed by the 84th Legislature. In conducting this oversight, the committee should: a. consider any reforms to state agencies to make them more responsive to Texas taxpayers and citizens; b. identify issues regarding the agency or its governance that may be appropriate to investigate, improve, remedy, or eliminate; c. determine whether an agency is operating in a transparent and efficient manner; and d. identify opportunities to streamline programs and services while maintaining the mission of the agency and its programs.
Supporting documents
Committee: House Insurance
Title: Committee meeting handouts and testimony, March 30, 2016 (Prompt pay, post-acute brain injury care, workers' compensation fraud)
Library Call Number:
Session: 84th R.S. (2015)
Online version: View document [168 pages  File size: 17,722 kb]
Committee: Senate State Affairs
Title: Interim Report
Subjects: Biometric identification | Cellular telephones | DNA databases | e-government | Electronic surveillance | Employees Retirement System of Texas | Health care costs | Health care navigators | Health insurance exchanges | Health insurance pools | Legislature, Texas | Medical billing | Patents | Patient Protection and Affordable Care Act | Personally identifiable information | Privacy | Rules of the Texas Senate | Search warrants | Searches and seizures | Small businesses | Teacher Retirement System of Texas | Texas Health Insurance Risk Pool | Texas Legislature Online | Texas Mutual Insurance | Websites | Workers' compensation |
Library Call Number: L1836.83 St29a
Session: 83rd R.S. (2013)
Online version: View report [128 pages]
Charges: This report should address the charges below.
1. Examine the negative economic impact on Texas business from legal issues involving threatened and actual patent litigation by "patent assertion entities" (PAEs). Consider the effects of PAE actions on innovation and economic development in Texas, paying particular attention to threats and lawsuits involving software and technology patent claims. Make recommendations on how the State of Texas can address problems related to frivolous legal actions and unsubstantiated patent claims asserted against legitimate business enterprises in light of the relevant federal jurisdiction, laws, regulations, and court rules in patent cases.
2. Examine possible measures to protect the personal privacy of Texas residents from governmental and commercial surveillance, including: (1) any necessary limits on warrantless search and seizure of data from electronic devices and wireless providers, including digital content and geolocational data; (2) any necessary protections against non-consented video and audio recordings collected by private handheld and wearable mobile devices and other private surveillance; and (3) any necessary limits on warrantless monitoring of the physical location of individuals through the use of biometrics, RFID chips, facial recognition, or other technologies. Examine related measures proposed or passed in other states.
3. Review the types and scope of personal data collected by governmental and commercial entities and consider methods to minimize the government’s collection of data on its citizens. The study should include: (1) whether sufficient protections exist for DNA samples and information, including whether there should be a prohibition on the creation of DNA databases, except for felons and sex offenders; (2) methods to protect the privacy of gun owners from aggregated purchasing pattern tracking; (3) mechanisms to ensure that private health care information is properly protected; and (4) ways to ensure that previously anonymous data is not improperly re-identified and marketed. Examine related measures proposed or passed in other states.
4. Examine possible reforms designed to increase citizens' ability to know what data is being collected about them by governmental andcommercial entities and with whom that data is being shared, including an analysis of consumer informed consent. Examine related measures proposed or passed in other states.
5. Study the online legislative resources available to the public from Texas Senate Committee websites and compare esources to those provided by other state legislative committees in Texas and other states. Determine how Texas Senate websites can be improved to provide a more interactive and transparent government.
6. Study the emerging negative impacts of the Federal Affordable Care Act, including the use of navigators, and make recommendations to mitigate any unintended consequences including rising health insurance premiums, lack of access to healthcare, mishandling of Texans' private information by insufficiently-trained navigators, and the Act’s overall effect on Texas employers and insurance consumers. Evaluate free-market alternatives to the Act, including state-led proposals to repeal, reduce or replace the Act. Closely monitor and make recommendations on the continuation of the Texas Health Insurance Pool.
7. Study and make recommendations on increasing medical price transparency in Texas, including studying the impact of SB 1731, 80th Legislative Session. Analyze relevant reforms considered or implemented in other states, and make recommendations regarding potential changes designed to create a more open marketplace for enhanced consumer decision making in Texas.
8. Monitor the actuarial and financial conditions of the pension and health care programs administered by the Teacher Retirement System (TRS) and the Employees Retirement System (ERS).
9. Monitor the implementation of legislation addressed by the Senate Committee on State Affairs, 83rd Legislature, Regular Session, and make recommendations for any legislation needed to improve, enhance, and/or complete implementation.
10. Study and make recommendations relative to the structure of Texas Mutual Insurance Company and the residual market for workers’ compensation insurance in Texas.
Committee: House Business and Industry
Title: Interim Report
Library Catalog Title: House Committee on Business and Industry, Texas House of Representatives interim report, 2006 : a report to the House of Representatives, 80th Texas Legislature
Subjects: Colonias | Contracts for deed | Homeowners' associations | Identity theft | Risk Management, State Office of | Texas Mutual Insurance | Workers' compensation |
Library Call Number: L1836.79 B964
Session: 79th R.S. (2005)
Online version: View report [97 pages  File size: 20,115 kb]
Charges: This report should address the charges below.
1. Monitor the implementation of HB 1823, 79th R.S., to determine if there is a need to further legislate the protection of homebuyers who purchase dwellings under the "rent-to-own" or "contract-for-deed" procedures. There should be particular attention paid to assure that no unintended consequences materialize.
2. Study the problem of identity theft, and recommend any legislative changes needed to combat the problem. (Joint interim charge with the House Committee on State Affairs.)
3. Monitor the Texas workers' compensation system reforms and implementation of HB 7, 79th R.S., by the Texas Department of Insurance and other state agencies. (Joint interim charge with the House Committee on Insurance.)
4. Study the powers and practices of homeowner associations in Texas and the possible need for legislation, such as the proposed Texas Uniform Planning Community Act, to address the rules, enforcement, restrictions and other matters with in the authority of a homeowner association. (Joint interim charge with the House Committee on Land and Resource Management.)
5. Monitor the agencies and programs under the committee's jurisdiction.

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