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TX HB3124
Bill
Status
2/20/2025
Primary Sponsor
Salman Bhojani
Click for details
AI Summary
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Requires health benefit plans that cover inpatient physical therapy to also cover medically necessary services that maintain existing physical function, restore or prevent loss of function, slow functional decline, or reduce secondary health risks from physical dysfunction
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Prohibits insurers from denying physical therapy coverage solely because the service is not expected to produce improvement in the patient's physical function, including for stroke or neurological condition patients
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Expands the statutory definition of "physical therapy" to include maintaining existing function and slowing the progress of movement dysfunction or pain, in addition to preventing, identifying, correcting, or alleviating such conditions
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Applies to a broad range of health plans including private insurance, HMOs, state employee plans, teacher plans, Medicaid, CHIP, and local government health benefits
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Takes effect September 1, 2025, with insurance coverage requirements applying to plans delivered, issued, or renewed on or after January 1, 2026
Legislative Description
Relating to health benefit plan coverage of certain physical therapy services and the practice of physical therapy.
Insurance
Last Action
Referred to Insurance
3/20/2025