Bill Text: TX HB1052 | 2025-2026 | 89th Legislature | Introduced
Bill Title: Relating to health benefit plan coverage of telemedicine, teledentistry, and telehealth appointments with an originating site or distant site located outside this state.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced) 2024-11-12 - Filed [HB1052 Detail]
Download: Texas-2025-HB1052-Introduced.html
| 89R3350 RDR-D | ||
| By: Bhojani | H.B. No. 1052 | |
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| relating to health benefit plan coverage of telemedicine, | ||
| teledentistry, and telehealth appointments with an originating | ||
| site or distant site located outside this state. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Section 1455.001, Insurance Code, is amended by | ||
| amending Subdivision (1-a) and adding Subdivisions (1-b) and (1-c) | ||
| to read as follows: | ||
| (1-a) "Distant site" means the location where a health | ||
| professional provides a telemedicine medical service, | ||
| teledentistry dental service, or telehealth service. | ||
| (1-b) "Health professional" means: | ||
| (A) a physician; | ||
| (B) an individual who is: | ||
| (i) licensed or certified in this state to | ||
| perform health care services; and | ||
| (ii) authorized to assist: | ||
| (a) a physician in providing | ||
| telemedicine medical services that are delegated and supervised by | ||
| the physician; or | ||
| (b) a dentist in providing | ||
| teledentistry dental services that are delegated and supervised by | ||
| the dentist; | ||
| (C) a licensed or certified health professional | ||
| acting within the scope of the license or certification who does not | ||
| perform a telemedicine medical service or a teledentistry dental | ||
| service; or | ||
| (D) a dentist. | ||
| (1-c) "Originating site" means the location where an | ||
| individual receives a telemedicine medical service, teledentistry | ||
| dental service, or telehealth service. | ||
| SECTION 2. Section 1455.004, Insurance Code, is amended by | ||
| adding Subsection (e) to read as follows: | ||
| (e) A health benefit plan must provide coverage for a | ||
| covered health care service or procedure delivered as a | ||
| telemedicine medical service, teledentistry dental service, or | ||
| telehealth service with an originating site or distant site located | ||
| outside this state on the same basis and to the same extent that the | ||
| plan provides coverage for the service or procedure delivered as a | ||
| telemedicine medical service, teledentistry dental service, or | ||
| telehealth service with an originating site and distant site | ||
| located in this state if: | ||
| (1) the individual who receives the service resides | ||
| primarily in this state; and | ||
| (2) the health professional who provides the service: | ||
| (A) is licensed or otherwise authorized to | ||
| provide the service in this state; and | ||
| (B) has a physical office in this state. | ||
| SECTION 3. Section 1455.004, Insurance Code, as amended by | ||
| this Act, applies only to a health benefit plan delivered, issued | ||
| for delivery, or renewed on or after January 1, 2026. A health | ||
| benefit plan delivered, issued for delivery, or renewed before | ||
| January 1, 2026, is governed by the law as it existed immediately | ||
| before the effective date of this Act, and that law is continued in | ||
| effect for that purpose. | ||
| SECTION 4. This Act takes effect September 1, 2025. | ||
