Bill > SB684

This bill introduces a new requirement for a uniform coordination of benefits (COB) questionnaire for health benefit plans in Texas, which will apply to a wide range of health insurance providers including insurance companies, health maintenance organizations, group hospital service corporations, and various state health programs like Medicaid and the child health plan program. The bill requires the insurance commissioner to collaborate with stakeholders to develop a standardized questionnaire that all health benefit plan issuers must use when they have a coordination of benefits provision, which helps determine how multiple insurance plans will pay benefits when a person is covered by more than one health plan. The uniform questionnaire must be made available to healthcare providers, with the implementation timeline specified as the commissioner adopting rules by January 1, 2026, and the questionnaire becoming mandatory for use starting February 1, 2026. The bill aims to streamline and standardize the process of determining primary and secondary insurance coverage, potentially reducing administrative complexity for healthcare providers and insurers. The act will take effect on September 1, 2025, giving stakeholders time to prepare for the new requirements.

Health and Social Services

https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=SB684