HBA-KMH H.B. 94 76(R) BILL ANALYSIS Office of House Bill AnalysisH.B. 94 By: Reyna, Arthur Insurance 12/30/1998 Introduced BACKGROUND AND PURPOSE Currently, some insurance companies place a five-year restriction in their policies which limit the liability of an insurance company regarding replacement of a crown on a particular tooth. If the crown needs replacement within that five-year period, the insurance company will not cover the expense. H.B. 94 prohibits an insurance company from contractually limiting its liability in such cases. RULEMAKING AUTHORITY It is the opinion of the Office of House Bill Analysis that this bill does not expressly delegate any additional rulemaking authority to a state officer, department, agency, or institution. SECTION BY SECTION ANALYSIS SECTION 1. Amends Section 2, Article 21.53, Insurance Code, by creating Subsection (a) from existing language and redesignating Subsections (a)-(d) to Subdivisions (a)(1)-(a)(4), respectively. Adds Subdivision (a)(5), restricting health insurance policies or employee benefit plans under this section from limiting benefits for dental care services relating to the diagnosis, preparation, and fitting of a dental crown on a particular tooth to one dental crown for that tooth in a specified period. Creates Subsection (b) from existing language. Makes conforming and nonsubstantive changes. SECTION 2. Makes application of this Act prospective from January 1, 2000. SECTION 3. Effective date: September 1, 1999. SECTION 4. Emergency clause.