Bill > HB388

This bill establishes a uniform coordination of benefits (COB) questionnaire for health benefit plans in Texas, which applies to a wide range of health insurance providers including insurance companies, hospital service corporations, health maintenance organizations, and various state health programs like Medicaid and the child health plan program. The bill requires the commissioner of insurance to collaborate with stakeholders to develop a standardized questionnaire that will be used by all health benefit plan issuers with coordination of benefits provisions. Health care providers will be able to access this uniform questionnaire, which is designed to streamline the process of determining which health insurance plan is primarily responsible for paying medical claims when an individual has coverage from multiple sources. The implementation timeline requires the commissioner to adopt rules establishing the questionnaire by January 1, 2026, with the new questionnaire becoming mandatory for use on or after February 1, 2026. The bill will take effect on September 1, 2025, and aims to create a more consistent and efficient approach to managing health insurance coordination across different types of health benefit plans in Texas.

Business and Industry, Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB388