TX HB139

Creates new "Employer Choice of Benefits Plans" that allow health benefit plan issuers to offer group health plans to employers that exclude some or all state-mandated health benefits while still providing creditable coverage

Requires these plans to include federal essential health benefits (ambulatory services, emergency care, hospitalization, maternity/newborn care, mental health/substance use services, prescription drugs, rehabilitative services, lab services, preventive care, and pediatric services including dental/vision)

Prohibits preexisting condition exclusions in employer choice of benefits plans

Mandates disclosure requirements including bold-type notices on applications and plan documents warning enrollees that the plan may not include all coverage normally required in Texas, and requires employers to sign disclosure statements listing excluded state-mandated benefits

Requires insurers offering these plans to also offer at least one traditional group health plan that includes all state-mandated benefits, and repeals several existing Insurance Code sections related to small employer health benefit plan alternatives