Loading chat...

TX SB527

Bill

Status

Passed

6/20/2025

Primary Sponsor

Charles Schwertner

Click for details

Origin

Senate

89th Legislature Regular Session

AI Summary

  • Health benefit plans that cover general anesthesia cannot exclude coverage for medically necessary general anesthesia during dental services for children under 13 years of age who have a documented physical, mental, or medical reason preventing them from undergoing dental procedures without anesthesia

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

  • Applies to a broad range of health plans including insurance companies, HMOs, group hospital service corporations, small employer plans, state employee plans (ERS, TRS), and self-funded plans sponsored by professional employer organizations

  • Does not require health benefit plans to provide coverage for the underlying dental care or procedures themselves—only the anesthesia services when medically necessary

  • Takes effect September 1, 2025, and applies to health benefit 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

Effective on 9/1/25

6/20/2025

Committee Referrals

Insurance4/30/2025
Health & Human Services2/3/2025

Full Bill Text

No bill text available