Section 1355.2571 - Parity Complaint Portal(a) The commissioner shall develop and maintain a parity complaint portal that is an integrated system that allows for the enrollee of a health benefit plan to submit complaints of suspected violations of the provisions of this subchapter. The parity complaint portal must:(1) allow for an enrollee to submit a complaint through multiple ways;(2) provide updates on the status of an enrollee's complaint;(3) ensure timely, effective, and equitable resolution for submitted complaints;(4) include educational materials regarding: (A) benefits for mental health conditions and substance use disorders required under this subchapter;(B) an enrollee's rights and responsibilities under a health benefit plan concerning coverage under this subchapter;(C) circumstances under which a claim may be denied; and(D) the processes for reviewing a complaint submitted through the portal;(5) adhere to national best practices as determined by the commissioner; and(6) include the findings of the report required by Section 1355.2572(b).(b) In developing the parity complaint portal under Subsection (a), the commissioner:(1) shall conduct an assessment of complaint portals and similar systems used by other relevant public or private entities;(2) shall develop best practice standards for complaint submissions and tracking consistent with the findings of the assessment conducted under Subdivision (1); and(3) may develop a new complaint portal or modify an existing complaint portal.(c) The Health and Human Services Commission shall appoint a liaison to the department to receive reports of concerns, complaints, and potential violations submitted through the parity complaint portal established under Subsection (a).Tex. Ins. Code § 1355.2571
Added by Acts 2021, Texas Acts of the 87th Leg. - Regular Session, ch. 703,Sec. 2, eff. 9/1/2021.