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CS/CS/CS/HB 221: Health Care Services

GENERAL BILL by Health and Human Services Committee ; Appropriations Committee ; Insurance and Banking Subcommittee ; Trujillo ; (CO-INTRODUCERS) Adkins ; Artiles ; Avila ; Mayfield ; O'Toole ; Spano ; Stark ; Watson, C.

Health Care Services; Requiring a specified health insurance plan to provide specified coverage for treatment of Down syndrome; requiring a health insurer or a pharmacy benefits manager to only use a certain form; requiring hospitals, ambulatory surgical centers, specialty hospitals, and urgent care centers to comply with certain provisions as a condition of licensure; providing requirements for settlement offers between certain providers and health plans in a specified dispute resolution program, etc.

Effective Date: 7/1/2016
 Last Action: 4/14/2016 - Chapter No. 2016-222, companion bill(s) passed, see HB 423 (Ch. 2016-224), CS/CS/HB 1175 (Ch. 2016-234)
Bill Text: PDF

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  • Bill History

    Date Chamber Action
    9/22/2015 House • Filed
    10/7/2015 House • Referred to Insurance and Banking Subcommittee; Appropriations Committee; Health and Human Services Committee -HJ 23
    1/12/2016 House • Introduced -HJ 23
    1/14/2016 House • On Committee agenda-- Insurance and Banking Subcommittee, 01/19/16, 1:00 pm, Sumner Hall
    1/19/2016 House • CS by Insurance and Banking Subcommittee; YEAS 12 NAYS 0 -HJ 263
    1/26/2016 House • Pending review of CS under Rule 7.19(c)
    • CS by Insurance and Banking Subcommittee read 1st time -HJ 283
    1/27/2016 House • Now in Appropriations Committee -HJ 305
    2/5/2016 House • On Committee agenda-- Appropriations Committee, 02/09/16, 3:00 pm, Webster Hall
    2/10/2016 House • CS/CS by Appropriations Committee; YEAS 25 NAYS 0 -HJ 452
    2/11/2016 House • Pending review of CS under Rule 7.19(c)
    2/12/2016 House • Now in Health and Human Services Committee -HJ 458
    • CS/CS by Appropriations Committee read 1st time -HJ 456
    2/15/2016 House • On Committee agenda-- Health and Human Services Committee, 02/17/16, 9:00 am, Morris Hall
    2/17/2016 House • CS/CS/CS by- Health and Human Services Committee; YEAS 12 NAYS 1 -HJ 518
    2/22/2016 House • Pending review of CS -under Rule 7.19(c)
    • CS/CS/CS by Health and Human Services Committee read 1st time -HJ 510
    2/23/2016 House • Placed on Calendar -HJ 560
    2/26/2016 House • Placed on Special Order Calendar, 03/01/16
    3/1/2016 House • Read 2nd time -HJ 611
    • Amendment(s) adopted (814735) -HJ 612
    • Placed on 3rd reading
    3/2/2016 House • Read 3rd time -HJ 647
    • CS passed as amended; YEAS 116 NAYS 1 -HJ 647
    3/2/2016 Senate • In Messages
    • Referred to Health Policy; Banking and Insurance; Appropriations -SJ 586
    • Received -SJ 586
    3/3/2016 Senate • Withdrawn from Health Policy; Banking and Insurance; Appropriations -SJ 620
    • Placed on Calendar, on 2nd reading -SJ 620
    • Substituted for CS/CS/CS/SB 1442 -SJ 620
    • Read 2nd time -SJ 620
    • Amendment(s) adopted (253290) -SJ 620
    • Placed on 3rd reading
    3/4/2016 Senate • Read 3rd time -SJ 705
    • CS passed as amended; YEAS 38 NAYS 0 -SJ 706
    3/4/2016 House • In returning messages
    3/11/2016 House • Was taken up -HJ 1188
    • Refused to concur, requested Senate to recede -HJ 1191
    3/11/2016 Senate • In returning messages
    • Amendment(s) reconsidered, adopted as amended (253290, 379122) -SJ 1157, 1161
    • CS passed as amended; YEAS 40 NAYS 0 -SJ 1161
    • Reconsidered -SJ 1416
    • Amendment(s) reconsidered, withdrawn (379122) -SJ 1416
    • Amendment(s) reconsidered, adopted as amended (253290, 652976) -SJ 1416
    • CS passed as amended; YEAS 39 NAYS 0 -SJ 1416
    3/11/2016 House • In returning messages
    • Was taken up -HJ 1417
    • Concurred in Senate amendment(s) as amended (253290) -HJ 1420
    • CS passed as amended; YEAS 118 NAYS 1 -HJ 1420
    • Ordered engrossed, then enrolled -HJ 1420
    3/30/2016 • Signed by Officers and presented to Governor
    4/14/2016 • Approved by Governor
    • Chapter No. 2016-222, companion bill(s) passed, see HB 423 (Ch. 2016-224), CS/CS/HB 1175 (Ch. 2016-234)

    Top of SectionTop of Page

  • CS/CS/CS/HB 221, Enrolled (Current Bill Version) Posted 3/16/2016 at 12:52 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (4)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1442 (c3) Out-of-network Health Insurance Coverage Garcia Similar Last Action: 3/3/2016 S Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222), CS/CS/HB 1175 (Ch. 2016-234) -SJ 620
    Location: Laid on Table     		Track This Bill
    H 423 (er) Access to Health Care Services Pigman, Campbell Compare Last Action: 4/14/2016 Chapter No. 2016-224, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222), CS/HB 977 (Ch. 2016-231), HB 1241 (Ch. 2016-145)
    Location: Became Law     		Track This Bill
    H 1175 (er) Transparency in Health Care Sprowls Compare Last Action: 4/14/2016 Chapter No. 2016-234, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222)
    Location: Became Law     		Track This Bill
    S 1496 (c1) Transparency in Health Care Bradley Compare Last Action: 3/8/2016 S Laid on Table, companion bill(s) passed, see CS/CS/HB 1175 (Ch. 2016-234), CS/CS/CS/HB 221 (Ch. 2016-222) -SJ 814
    Location: Laid on Table     		Track This Bill

    Citations - Statutes (13)

    Citation Catchline Location in Bill Location In Bill Help
    395.003 Licensure; denial, suspension, and revocation. Page 5 (pdf)
    395.301 Itemized patient bill; form and content prescribed by the agency; patient admission status notification. Page 5 (pdf)
    408.7057 Statewide provider and health plan claim dispute resolution program. Page 6 (pdf)
    456.072 Grounds for discipline; penalties; enforcement. Page 9 (pdf)
    458.331 Grounds for disciplinary action; action by the board and department. Page 9 (pdf)
    459.015 Grounds for disciplinary action; action by the board and department. Page 9 (pdf)
    626.9541 Unfair methods of competition and unfair or deceptive acts or practices defined. Page 10 (pdf)
    627.42392 Page 4 (pdf)
    627.64194 Page 10 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 13 (pdf), Page 14 (pdf)
    627.662 Other provisions applicable. Page 15 (pdf)
    627.6686 Coverage for individuals with autism spectrum disorder required; exception. Page 3 (pdf)
    641.31098 Coverage for individuals with developmental disabilities. Page 3 (pdf)

    Top of SectionTop of Page

  • CS/CS/CS/HB 221, Engrossed 2 Posted 3/16/2016 at 12:45 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1442 (c3) Out-of-network Health Insurance Coverage Garcia Similar Last Action: 3/3/2016 S Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222), CS/CS/HB 1175 (Ch. 2016-234) -SJ 620
    Location: Laid on Table     		Track This Bill
    H 1175 (er) Transparency in Health Care Sprowls Compare Last Action: 4/14/2016 Chapter No. 2016-234, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222)
    Location: Became Law     		Track This Bill
    S 1496 (c1) Transparency in Health Care Bradley Compare Last Action: 3/8/2016 S Laid on Table, companion bill(s) passed, see CS/CS/HB 1175 (Ch. 2016-234), CS/CS/CS/HB 221 (Ch. 2016-222) -SJ 814
    Location: Laid on Table     		Track This Bill

    Citations - Statutes (13)

    Citation Catchline Location in Bill Location In Bill Help
    395.003 Licensure; denial, suspension, and revocation. Page 3 (pdf)
    395.301 Itemized patient bill; form and content prescribed by the agency; patient admission status notification. Page 3 (pdf)
    408.7057 Statewide provider and health plan claim dispute resolution program. Page 4 (pdf)
    456.072 Grounds for discipline; penalties; enforcement. Page 6 (pdf)
    458.331 Grounds for disciplinary action; action by the board and department. Page 6 (pdf)
    459.015 Grounds for disciplinary action; action by the board and department. Page 7 (pdf)
    626.9541 Unfair methods of competition and unfair or deceptive acts or practices defined. Page 7 (pdf)
    627.42392
    627.64194 Page 8 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 11 (pdf), Page 12 (pdf)
    627.662 Other provisions applicable. Page 12 (pdf)
    627.6686 Coverage for individuals with autism spectrum disorder required; exception.
    641.31098 Coverage for individuals with developmental disabilities.

    Top of SectionTop of Page

  • CS/CS/CS/HB 221, Engrossed 1 Posted 3/1/2016 at 4:51 PM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1442 (c3) Out-of-network Health Insurance Coverage Garcia Similar Last Action: 3/3/2016 S Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222), CS/CS/HB 1175 (Ch. 2016-234) -SJ 620
    Location: Laid on Table     		Track This Bill
    H 1175 (er) Transparency in Health Care Sprowls Compare Last Action: 4/14/2016 Chapter No. 2016-234, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222)
    Location: Became Law     		Track This Bill
    S 1496 (c1) Transparency in Health Care Bradley Compare Last Action: 3/8/2016 S Laid on Table, companion bill(s) passed, see CS/CS/HB 1175 (Ch. 2016-234), CS/CS/CS/HB 221 (Ch. 2016-222) -SJ 814
    Location: Laid on Table     		Track This Bill

    Floor Amendments (4)

    Amendment Sponsor Filed Last Floor Action Format
    938054 - Amendment
    Between lines 312 and 313 insert:     		Garcia 3/11/2016
    4:19 PM     		Senate: Withdrawn
    3/11/2016     		Web Page
    PDF
    253290 - Amendment (Delete All)
    Delete everything after the enacting clause and insert:     		Garcia 3/3/2016
    9:26 AM     		House: Concurred as Amended
    3/11/2016     		Web Page
    PDF
    hierarchy 379122 - Amendment to Amendment (253290)
    Delete lines 5 - 30 and insert:     		Garcia 3/11/2016
    4:55 PM     		Senate: Withdrawn
    3/21/2016     		Web Page
    PDF
    hierarchy 652976 - Amendment to Amendment (253290)
    Delete lines 5 - 61 and insert:     		Garcia 3/11/2016
    5:19 PM     		Senate: Adopted
    3/21/2016     		Web Page
    PDF

    Floor Votes (5)

    Date Chamber Result
    3/2/2016 11:38 AM House 116 Yeas - 1 Nays
    3/4/2016 3:19 PM Senate 38 Yeas - 0 Nays
    3/11/2016 4:59 PM Senate 40 Yeas - 0 Nays
    3/11/2016 5:26 PM Senate 39 Yeas - 0 Nays
    3/11/2016 5:49 PM House 118 Yeas - 1 Nays

    Citations - Statutes (10)

    Citation Catchline Location in Bill Location In Bill Help
    395.003 Licensure; denial, suspension, and revocation. Page 3 (pdf)
    395.301 Itemized patient bill; form and content prescribed by the agency; patient admission status notification. Page 3 (pdf)
    408.7057 Statewide provider and health plan claim dispute resolution program. Page 4 (pdf)
    456.072 Grounds for discipline; penalties; enforcement. Page 6 (pdf)
    458.331 Grounds for disciplinary action; action by the board and department. Page 6 (pdf)
    459.015 Grounds for disciplinary action; action by the board and department. Page 7 (pdf)
    626.9541 Unfair methods of competition and unfair or deceptive acts or practices defined. Page 7 (pdf)
    627.64194 Page 8 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 11 (pdf), Page 12 (pdf)
    627.662 Other provisions applicable. Page 12 (pdf)

    Top of SectionTop of Page

  • CS/CS/CS/HB 221, Committee Substitute 3 Posted 2/22/2016 at 8:46 AM

    Bill Text:   PDF
    Analyses:   None

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1442 (c3) Out-of-network Health Insurance Coverage Garcia Similar Last Action: 3/3/2016 S Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222), CS/CS/HB 1175 (Ch. 2016-234) -SJ 620
    Location: Laid on Table     		Track This Bill
    H 1175 (c2) Transparency in Health Care Sprowls Compare Last Action: 4/14/2016 Chapter No. 2016-234, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222)
    Location: Became Law     		Track This Bill
    S 1496 (c1) Transparency in Health Care Bradley Compare Last Action: 3/8/2016 S Laid on Table, companion bill(s) passed, see CS/CS/HB 1175 (Ch. 2016-234), CS/CS/CS/HB 221 (Ch. 2016-222) -SJ 814
    Location: Laid on Table     		Track This Bill

    Floor Amendments (1)

    Amendment Sponsor Filed Last Floor Action Format
    814735 - Amendment
    Remove lines 109-284 and insert:     		Trujillo 2/29/2016
    11:50 AM     		House: Adopted
    3/1/2016     		PDF

    Citations - Statutes (10)

    Citation Catchline Location in Bill Location In Bill Help
    395.003 Licensure; denial, suspension, and revocation. Page 2 (pdf)
    395.301 Itemized patient bill; form and content prescribed by the agency; patient admission status notification. Page 3 (pdf)
    408.7057 Statewide provider and health plan claim dispute resolution program. Page 4 (pdf)
    456.072 Grounds for discipline; penalties; enforcement. Page 5 (pdf)
    458.331 Grounds for disciplinary action; action by the board and department. Page 5 (pdf)
    459.015 Grounds for disciplinary action; action by the board and department. Page 6 (pdf)
    626.9541 Unfair methods of competition and unfair or deceptive acts or practices defined. Page 6 (pdf)
    627.64194 Page 6 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 10 (pdf), Page 10 (pdf)
    627.662 Other provisions applicable. Page 11 (pdf)

    Top of SectionTop of Page

  • CS/CS/HB 221, Committee Substitute 2 Posted 2/11/2016 at 2:40 PM

    Bill Text:   PDF
    Analyses:   Health and Human Services Committee (Post-Meeting) 2/21/2016 (pdf)

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1442 (c2) Out-of-network Health Insurance Coverage Garcia Similar Last Action: 3/3/2016 S Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222), CS/CS/HB 1175 (Ch. 2016-234) -SJ 620
    Location: Laid on Table     		Track This Bill
    H 1175 (c1) Transparency in Health Care Sprowls Compare Last Action: 4/14/2016 Chapter No. 2016-234, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222)
    Location: Became Law     		Track This Bill
    S 1496 Transparency in Health Care Bradley Compare Last Action: 3/8/2016 S Laid on Table, companion bill(s) passed, see CS/CS/HB 1175 (Ch. 2016-234), CS/CS/CS/HB 221 (Ch. 2016-222) -SJ 814
    Location: Laid on Table     		Track This Bill

    Committee Amendments (1)

    Amendment Sponsor Filed Last Committee Action Format
    286039 - Strike All Amendment
    Remove everything after the enacting clause and insert:     		Trujillo 2/16/2016
    6:48 PM     		Adopted without Objection
    2/17/2016     		PDF

    Citations - Statutes (10)

    Citation Catchline Location in Bill Location In Bill Help
    395.003 Licensure; denial, suspension, and revocation. Page 2 (pdf)
    395.301 Itemized patient bill; form and content prescribed by the agency; patient admission status notification. Page 3 (pdf)
    408.7057 Statewide provider and health plan claim dispute resolution program. Page 4 (pdf)
    456.072 Grounds for discipline; penalties; enforcement. Page 5 (pdf)
    458.331 Grounds for disciplinary action; action by the board and department. Page 5 (pdf)
    459.015 Grounds for disciplinary action; action by the board and department. Page 5 (pdf)
    626.9541 Unfair methods of competition and unfair or deceptive acts or practices defined. Page 6 (pdf)
    627.64194 Page 6 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 10 (pdf), Page 10 (pdf)
    627.662 Other provisions applicable. Page 11 (pdf)

    Top of SectionTop of Page

  • CS/HB 221, Committee Substitute 1 Posted 1/26/2016 at 11:49 AM

    Bill Text:   PDF
    Analyses:   Appropriations Committee (Post-Meeting) 2/11/2016 (pdf)

    Related Bills (3)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1442 (c1) Out-of-network Health Insurance Coverage Garcia Similar Last Action: 3/3/2016 S Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222), CS/CS/HB 1175 (Ch. 2016-234) -SJ 620
    Location: Laid on Table     		Track This Bill
    H 1175 (c1) Transparency in Health Care Sprowls Compare Last Action: 4/14/2016 Chapter No. 2016-234, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222)
    Location: Became Law     		Track This Bill
    S 1496 Transparency in Health Care Bradley Compare Last Action: 3/8/2016 S Laid on Table, companion bill(s) passed, see CS/CS/HB 1175 (Ch. 2016-234), CS/CS/CS/HB 221 (Ch. 2016-222) -SJ 814
    Location: Laid on Table     		Track This Bill

    Committee Amendments (2)

    Amendment Sponsor Filed Last Committee Action Format
    399391 - Strike All Amendment
    Remove everything after the enacting clause and insert:     		Trujillo 2/9/2016
    10:53 AM     		Adopted without Objection
    2/10/2016     		PDF
    hierarchy 406417 - Substitute Amendment (399391)
    Remove everything after the enacting clause and insert:     		Wood 2/9/2016
    12:29 PM     		Withdrawn
    2/10/2016     		PDF

    Citations - Statutes (5)

    Citation Catchline Location in Bill Location In Bill Help
    395.003 Licensure; denial, suspension, and revocation. Page 2 (pdf)
    395.301 Itemized patient bill; form and content prescribed by the agency; patient admission status notification. Page 2 (pdf)
    456.072 Grounds for discipline; penalties; enforcement. Page 3 (pdf)
    627.64194 Page 4 (pdf)
    627.6471 Contracts for reduced rates of payment; limitations; coinsurance and deductibles. Page 9 (pdf)

    Top of SectionTop of Page

  • HB 221, Original Filed Version Posted 9/22/2015 at 3:34 PM

    Bill Text:   PDF
    Analyses:   Insurance and Banking Subcommittee (Post-Meeting) 4/15/2016 (pdf)

    Related Bills (1)

    Bill Number Subject Filed By Relationship Last Action and Location Track Bills
    S 1442 Out-of-network Health Insurance Coverage Garcia Compare Last Action: 3/3/2016 S Laid on Table, companion bill(s) passed, see CS/CS/CS/HB 221 (Ch. 2016-222), CS/CS/HB 1175 (Ch. 2016-234) -SJ 620
    Location: Laid on Table     		Track This Bill

    Committee Amendments (6)

    Amendment Sponsor Filed Last Committee Action Format
    757545 - Strike All Amendment
    Remove everything after the enacting clause and insert:     		Trujillo 1/15/2016
    7:13 PM     		Adopted without Objection
    1/19/2016     		PDF
    hierarchy 672487 - Amendment to Amendment (757545)
    Between lines 70 and 71 of the amendment, insert:     		Santiago 1/19/2016
    5:30 PM     		Withdrawn
    1/19/2016     		PDF
    hierarchy 337343 - Amendment to Amendment (757545)
    Remove lines 71-72 of the amendment and insert:     		Santiago 1/19/2016
    5:32 PM     		Withdrawn
    1/19/2016     		PDF
    hierarchy 441703 - Amendment to Amendment (757545)
    Remove lines 84-85 of the amendment and insert:     		Santiago 1/19/2016
    5:33 PM     		Withdrawn
    1/19/2016     		PDF
    hierarchy 904549 - Amendment to Amendment (757545)
    Remove lines 147-149 of the amendment and insert:     		Santiago 1/19/2016
    5:33 PM     		Withdrawn
    1/19/2016     		PDF
    hierarchy 744247 - Amendment to Amendment (757545)
    Remove line 205 of the amendment and insert:     		Santiago 1/19/2016
    5:34 PM     		Withdrawn
    1/19/2016     		PDF

    Citations - Statutes (2)

    Citation Catchline Location in Bill Location In Bill Help
    627.64194 Page 1 (pdf)
    641.513 Requirements for providing emergency services and care. Page 3 (pdf)

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