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TX HB412

TX HB412
Relating to health benefit plan coverage for early childhood intervention services.


summary

Introduced
11/12/2024
In Committee
02/28/2025
Crossed Over
Passed
Dead
06/02/2025

Introduced Session

89th Legislature Regular Session

Bill Summary

AN ACT relating to health benefit plan coverage for early childhood intervention services.

AI Summary

This bill expands health insurance coverage for early childhood intervention services in Texas by modifying existing insurance code provisions. The bill broadens the definition of rehabilitative and habilitative therapies to include specialized skills training by early intervention specialists, applied behavior analysis treatment, and case management services. Health benefit plans must now provide coverage for services outlined in a child's individualized family service plan, with a specific annual limit of $9,000 for specialized skills training and case management. The bill prohibits insurance providers from applying these services to annual or lifetime maximum benefits or using their costs as justification for increasing premiums or terminating coverage. Additionally, the bill clarifies that children must first use available insurance coverage before accessing state-provided early childhood intervention benefits, in accordance with the Individuals with Disabilities Education Act. These changes will apply to health benefit plans delivered, issued, or renewed on or after January 1, 2026, with the act taking effect on September 1, 2025.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Referred to Insurance (on 02/28/2025)

bill text


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