80th Texas Legislature, Regular Session, House Bill 522, Chapter 209 Page: 2 of 10
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H.B. No. 522
1 Information about their health care coverage from their health care
2 providers and that health care providers therefore need access to
3 real-time information about their patients' eligibility to receive
4 health care under the health benefit plan, coverage of health care
5 under the health benefit plan, and the benefits associated with the
6 health benefit plan.
7 (e) The legislature finds that adoption of technology by
8 insurers, health maintenance organizations, and health care
9 providers to facilitate use of electronic data exchange standards
10 currently available will make coverage and health care electronic
11 transactions more predictable, reliable, and consistent.
12 Sec. 1660.002. DEFINITIONS. In this chapter:
13 (1) "Administrator" has the meaning assigned by
14 Section 4151.001.
15 (2) "Advisory committee" means the technical advisory
16 committee on electronic data exchange.
17 (3) "Enrollee" means an individual who is insured by
18 or enrolled in a health benefit plan.
19 (4) "Health benefit plan" means an individual, group,
20 blanket, or franchise insurance policy or insurance agreement, a
21 group hospital service contract, or an evidence of coverage that
22 provides health insurance or health care benefits.
23 (5) "Transaction standards" means the Health
24 Insurance Portability and Accountability Act of 1996 (Pub. L. No.
25 104-191) transaction standards of the Centers for Medicare and
26 Medicald Services under 45 C.F.R. Part 162.
27 Sec. 1660.003. APPLICABILITY. (a) This chapter applies
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Texas. Legislature. House of Representatives. 80th Texas Legislature, Regular Session, House Bill 522, Chapter 209, legislative document, May 25, 2007; [Austin, Texas]. (https://texashistory.unt.edu/ark:/67531/metapth155440/m1/2/: accessed April 24, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.