Bill > HB3942

This bill requires health benefit plans in Texas to cover medically necessary general anesthesia for dental services for children under 13 who cannot undergo dental procedures without anesthesia due to documented physical, mental, or medical reasons. The bill applies to a wide range of health insurance providers, including insurance companies, hospital service corporations, health maintenance organizations, and self-funded health benefit plans. The coverage mandate applies specifically to general anesthesia services performed by a qualified anesthesia provider, but importantly, the bill does not require health plans to cover the underlying dental procedures themselves. The new requirements will take effect for health benefit plans delivered, issued, or renewed on or after January 1, 2026, with the act itself becoming effective on September 1, 2025. This legislation aims to ensure that children with special medical needs can access necessary dental care by removing insurance barriers related to general anesthesia coverage.

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https://capitol.texas.gov/BillLookup/History.aspx?LegSess=89R&Bill=HB3942