TX HB709

Defines "serious emotional disturbance of a child" as a diagnosable mental, behavioral, or emotional disorder meeting DSM criteria in children ages 3-17 that substantially impairs functioning in self-care, family relationships, school, or community activities

Requires group health benefit plans to cover at least 45 days of inpatient treatment and 60 outpatient visits per calendar year for serious emotional disturbance of a child, based on medical necessity

Prohibits lifetime limitations on inpatient days or outpatient visits for this coverage, and requires the same deductibles, copayments, and coinsurance as coverage for physical illness

Medication management visits cannot count against the 60 outpatient visit minimum

Texas Department of Insurance must conduct a study on claims utilization and cost impact of this coverage, submitting a report to the legislature by December 1, 2026; study provisions expire September 1, 2027

Applies to group health benefit plans delivered, issued, or renewed on or after January 1, 2026, with the act taking effect September 1, 2025