Texas § 38.455 FUNDING OF ANALYSIS PROGRAM; FEE.

Texas Statutes

§ 38.455 — FUNDING OF ANALYSIS PROGRAM; FEE.

Texas § 38.455

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Bluebook

Tex. Insurance Code Code Ann. § 38.455 (2026).

Text

Sec. 38.455. FUNDING OF ANALYSIS PROGRAM; FEE.

(a)Except as provided by Subsection (b), the comptroller shall assess an annual fee on each health benefit plan issuer subject to Chapter 843 or 1301 in the amount necessary to implement this subchapter.

(b)The comptroller may not assess a fee under this section:

(1)for a health benefit plan issued under Chapter 1551 , 1575 , 1579 , or 1601 ; or

(2)on a health benefit plan issuer operating solely as a Medicaid managed care organization.

(c)The comptroller shall:

(1)determine the amount of the fee assessed under this section, which must be:

(A)based on the estimate developed by the center under Subsection (f); and

(B)prorated based on the number of covered lives attributed to each health benefit plan issuer subject to an assessment unde

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Sec. 38.455. FUNDING OF ANALYSIS PROGRAM; FEE. (a) Except as provided by Subsection (b), the comptroller shall assess an annual fee on each health benefit plan issuer subject to Chapter 843 or 1301 in the amount necessary to implement this subchapter.
(b) The comptroller may not assess a fee under this section:
(1) for a health benefit plan issued under Chapter 1551 , 1575 , 1579 , or 1601 ; or
(2) on a health benefit plan issuer operating solely as a Medicaid managed care organization.
(c) The comptroller shall:
(1) determine the amount of the fee assessed under this section, which must be:
(A) based on the estimate developed by the center under Subsection (f); and
(B) prorated based on the number of covered lives attributed to each health benefit plan issuer subject to an assessment under this section, as determined by the department under Subsection (g); and
(2) adjust the amount of the fee assessed under this section for each state fiscal biennium to address any:
(A) based on an estimate developed by the center under Subsection (f), increase in costs to implement this subchapter; or
(B) deficits incurred during the preceding year as a result of implementing this subchapter.
(d) Not later than August 1 of each year, a health benefit plan issuer shall pay the fee assessed under this section to the comptroller. The legislature may appropriate money received under this section only to the center to be used by the center to administer the center's duties under this subchapter.
(e) The comptroller may adopt rules to administer this section.
(f) Not later than March 1 of each year, the center shall develop and submit to the comptroller an estimate of the amount necessary to fund the actual necessary expenses of implementing this subchapter for each fiscal biennium.
(g) Not later than March 1 of each year, the department shall submit to the comptroller a report on the number of covered lives attributed to each health benefit plan issuer subject to an assessment under this section for the preceding calendar year.
(h) Notwithstanding Subsection (d), a health benefit plan issuer shall pay a fee assessed by the comptroller under this section during the 2025 calendar year as soon as practicable after the date the comptroller assesses the fee. This subsection expires January 1, 2027.