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Bill > HB139


TX HB139

TX HB139
Relating to employer health benefit plans that do not include state-mandated health benefits.


summary

Introduced
03/07/2025
In Committee
04/03/2025
Crossed Over
Passed
Dead
06/02/2025

Introduced Session

89th Legislature Regular Session

Bill Summary

AN ACT relating to employer health benefit plans that do not include state-mandated health benefits.

AI Summary

This bill introduces a new type of health insurance plan called an "employer choice of benefits plan" that allows employers to offer health insurance with fewer state-mandated benefits, potentially at a lower cost. The bill creates a new Chapter 1506 in the Texas Insurance Code that defines these plans, which must still cover essential health benefits like emergency services, hospitalization, prescription drugs, and preventative care, but can exclude other state-mandated health benefits. Health benefit plan issuers offering these plans must provide clear written disclosure to employers and employees about the reduced coverage, including a prominent notice on enrollment documents that explains the plan may offer fewer benefits than traditional health plans. Importantly, health insurers offering these plans must also provide at least one traditional group health benefit plan with full state-mandated benefits. The bill requires employers to provide these disclosure documents to employees before initial enrollment and renewal, and to obtain signed acknowledgment from employees. The goal appears to be providing more flexible, potentially more affordable health insurance options for employers while ensuring transparency about the limitations of these plans.

Committee Categories

Business and Industry

Sponsors (9)

Last Action

Postponed 4/1/27 10:00 AM (on 05/15/2025)

bill text


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