TX SB1090

Prohibits dental benefits providers and health insurance issuers from changing a dentist's submitted procedure codes through "bundling" (combining distinct procedures into one for billing) or "down-coding" (adjusting claims to reflect a less complex or lower-cost procedure) without first conducting a professional review

Requires that any code changes must be supported by a determination that the original coding was incorrect, fragmented, or unbundled according to the current Code on Dental Procedures and Nomenclature or consistent with generally acceptable standards of dental care

Exempts from the restrictions any adjustments for improperly or inaccurately billed procedures, as well as denials or adjustments made in accordance with the patient's covered dental benefits

Applies to employee benefit plans beginning on or after January 1, 2026, and health insurance policies delivered, issued, or renewed on or after January 1, 2026

Takes effect September 1, 2025