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Texas Proposes Restrictive Rules For Health Care Navigators

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AP Photo / Richard Shiro

Texas Gov. Rick Perry (R) proposed rules in September after he deemed federal regulation of navigators insufficient. A state law passed in May allowed the state to regulate navigators if federal rules were not sufficient.

Perry initially requested that navigators be required to keep a record of consumers they helped sign up for health insurance, which officials at the U.S. Department of Health and Human Services told TPM in September violated federal privacy laws. This rule did not appear in the proposal the Department of Insurance published Tuesday.

The Department of Insurance will hold a hearing on the proposed rules on Dec. 20, and will then hold a period of public comment until Jan. 6, 2014. The rules will take effect once the comment period has ended.

Supporters of the health care law said that restrictive rules for navigators in Texas are meant to keep people from enrolling under the new law.

"This is an attempt to add cumbersome requirements to the navigator program and deter groups from working to enroll Americans in coverage in the Health Insurance Marketplace," Joanne Peters, a spokeswoman for the federal Department of Health and Human Services, told the Washington Post. "The navigator program is similar to Medicare counselors, which have existed for years and never faced this kind of scrutiny from Texas. Despite the state’s efforts, we are confident that navigators will continue to help Texans enroll in quality, affordable health coverage."

At least 16 other states have also drafted or considered similar rules that may burden navigators, according to USA Today.