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TX HB261
Bill
Status
11/12/2024
Primary Sponsor
Barbara Gervin-Hawkins
Click for details
AI Summary
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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
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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
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Anesthesia must be performed by a qualified provider of anesthesia services to qualify for coverage
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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
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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