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TX HB2528

Bill

Status

Introduced

2/6/2025

Primary Sponsor

John Bucy

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • Prohibits health benefit plans from requiring prior authorization for medication-assisted treatment (MAT) of opioid or substance use disorders, except to prevent fraud, waste, and abuse

  • Covers specific MAT medications including methadone, buprenorphine, buprenorphine/naloxone, and naltrexone

  • Applies broadly to insurance companies, HMOs, group hospital service corporations, multiple employer welfare arrangements, small employer health plans, and self-funded plans sponsored by professional employer organizations

  • Exempts state Medicaid programs (including Medicaid managed care) and the Children's Health Insurance Program (CHIP) from these requirements

  • Takes effect September 1, 2025, applying to health benefit plans delivered, issued, or renewed on or after January 1, 2026

Legislative Description

Relating to health benefit plan coverage of prescription drugs for opioid and substance use disorders.

MEDICINE & PRESCRIPTION DRUGS

Last Action

Left pending in committee

4/9/2025

Committee Referrals

Insurance3/17/2025

Full Bill Text

No bill text available