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TX HB261

Bill

Status

Introduced

11/12/2024

Primary Sponsor

Barbara Gervin-Hawkins

Click for details

Origin

House of Representatives

89th Legislature Regular Session

AI Summary

  • Prohibits health benefit plans that cover general anesthesia from excluding coverage for medically necessary general anesthesia services during dental procedures for children under 13 years of age

  • Coverage requirement applies only when the child is unable to undergo the dental service without general anesthesia due to a documented physical, mental, or medical reason

  • Anesthesia must be performed by a qualified provider of anesthesia services to qualify for coverage

  • Applies broadly to various health plans including insurance companies, HMOs, small employer plans, state employee plans (ERS, TRS), and self-funded plans sponsored by professional employer organizations

  • Does not require health plans to cover the underlying dental care or procedures themselves; applies only to plans delivered, issued, or renewed on or after January 1, 2026

Legislative Description

Relating to health benefit coverage for general anesthesia in connection with certain pediatric dental services.

Health

Last Action

Referred to Insurance

2/27/2025

Committee Referrals

Insurance2/27/2025

Full Bill Text

No bill text available
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