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CS/HB 7157: State Group Insurance Program

GENERAL BILL by Appropriations Committee ; Health and Human Services Committee ; Brodeur

State Group Insurance Program; Revises applicability of certain definitions regarding state group insurance program; defines term "plan year"; authorizes program to include additional benefits; authorizes employee to use certain portion of state's contribution to purchase additional & supplemental benefits; provides for program to offer health plans in specified benefit coverage levels; provides for DMS to develop plan for implementation of benefit levels; provides reporting requirements; provides for expiration of implementation plan; authorizes additional benefits to be included in program; provides that DMS shall contract with at least one entity that provides comprehensive pricing & inclusive services for surgery & other medical procedures; provides contract & reporting requirements; provides for DMS to establish 3-year price transparency pilot project in certain areas of state; provides project & reporting requirements; directs DMS to contract with independent benefits consultant; provides requirements for & duties of consultant; provides reporting requirement; deletes requirement that DMS base decision as to whether to implement certain 90-day supply limit on determination that it would be in best financial interest of state; revises pharmacy dispensing fee; authorizes retail pharmacy to fill 90-day supply of certain drugs; repeals reversion of provisions relating to state employees' prescription drug program; directs DMS to provide premium alternatives to Governor & Legislature by specified date; provides criteria for calculating premium alternatives; provides that GAA shall establish premiums for enrollees that reflect differences in benefit design & value among plan options; provides appropriation & authorizes positions. APPROPRIATION: $809,978

Effective Date: 7/1/2014
Last Action: 5/2/2014 Senate - Died in Governmental Oversight and Accountability, companion bill(s) passed, see HB 5003 (Ch. 2014-53)
Bill Text: PDF
Senate Committee References:
  1. Governmental Oversight and Accountability (GO)
  2. Appropriations Subcommittee on Health and Human Services (AHS)
  3. Appropriations (AP)

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  • Bill History

    Date Chamber Action
    3/21/2014 House • Filed
    3/24/2014 House • Introduced -HJ 329
    3/27/2014 House • Referred to Appropriations Committee -HJ 387
    4/8/2014 House • On Committee agenda-- Appropriations Committee, 04/10/14, 1:00 pm, Webster Hall
    4/10/2014 House • CS by- Appropriations Committee; YEAS 17 NAYS 10 -HJ 531
    4/11/2014 House • Pending review of CS -under Rule 7.19(c)
    • CS by Appropriations Committee read 1st time -HJ 527
    4/15/2014 House • Placed on Calendar -HJ 540
    4/22/2014 House • Placed on Special Order Calendar, 04/24/14
    4/24/2014 House • Read 2nd time -HJ 696
    • Placed on 3rd reading
    4/25/2014 House • Read 3rd time -HJ 756
    • CS passed; YEAS 73 NAYS 42 -HJ 757
    4/25/2014 Senate • In Messages
    • Referred to Governmental Oversight and Accountability; Appropriations Subcommittee on Health and Human Services; Appropriations -SJ 710
    • Received -SJ 710
    5/2/2014 Senate • Died in Governmental Oversight and Accountability, companion bill(s) passed, see HB 5003 (Ch. 2014-53)

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  • CS/HB 7157, Committee Substitute 1 (Current Bill Version) Posted 4/11/2014 at 4:44 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    H 1361 State Employees' Prescription Drug Program Richardson Compare Last Action: 5/2/2014 H Died in Health and Human Services Committee, companion bill(s) passed, see HB 5003 (Ch. 2014-53)
    Location: In committee/council (HHSC)
    H 5003 (er) Implementing 2014-2015 General Appropriations Act Appropriations Committee Compare Last Action: 6/2/2014 Chapter No. 2014-53, companion bill(s) passed, see HB 5001 (Ch. 2014-51), CS/HB 7091 (Ch. 2014-150), CS/CS/CS/SB 218 (Ch. 2014-169), SB 2514 (Ch. 2014-50)
    Location: Became Law
    S 1266 (c1) State Employees’ Prescription Drug Program Montford Compare Last Action: 5/2/2014 S Died in Appropriations Subcommittee on Health and Human Services, companion bill(s) passed, see HB 5003 (Ch. 2014-53)
    Location: In committee/council (AHS)

    Floor Votes (1)

    Date Chamber Result
    4/25/2014 2:33 PM House 73 Yeas - 42 Nays

    Citations - Statutes (4)

    Citation Catchline Location in Bill Location In Bill Help
    110.123 State group insurance program. Page 3 (pdf)
    110.12303 Page 17 (pdf)
    110.12304 Page 20 (pdf)
    110.12315 Prescription drug program. Page 22 (pdf)

    Citations - Chapter Law (1)

    Chapter Law Section Amended Location in Bill Location In Bill Help
    2013-41 Section 54 Page 26 (pdf)

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  • HB 7157, Original Filed Version Posted 3/21/2014 at 6:12 PM

    Bill Text:   PDF
    Analyses:   Appropriations Committee (Post-Meeting) 4/11/2014 (pdf)

    Committee Amendments (3)

    Amendment Sponsor Filed Last Committee Action Format
    422703 - Amendment
    Between lines 526 and 527, insert:
    Jones, M. 4/9/2014
    7:45 PM
    Adopted without Objection
    4/10/2014
    PDF
    533757 - Amendment
    Remove lines 527-536 and insert:
    Brodeur 4/9/2014
    7:42 PM
    Adopted without Objection
    4/10/2014
    PDF
    658191 - Amendment
    Between lines 536 and 537, insert:
    Brodeur 4/9/2014
    7:44 PM
    Adopted without Objection
    4/10/2014
    PDF

    Citations - Statutes (3)

    Citation Catchline Location in Bill Location In Bill Help
    110.123 State group insurance program. Page 2 (pdf)
    110.12303 Page 16 (pdf)
    110.12304 Page 19 (pdf)

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