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A BILL TO BE ENTITLED
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AN ACT
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relating to coverage of medically necessary health care and |
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treatment under the state employees group benefits program. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Subchapter E, Chapter 1551, Insurance Code, is |
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amended by adding Section 1551.2255 to read as follows: |
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Sec. 1551.2255. COVERAGE OF MEDICALLY NECESSARY HEALTH CARE |
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AND TREATMENT. (a) The board of trustees shall develop a plan for |
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providing coverage under the group benefits program of any health |
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care or treatment deemed medically necessary by a participant's |
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treating physician or health care provider. |
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(b) The board of trustees may adopt rules as necessary to |
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implement this section. |
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SECTION 2. The changes in law made by this Act apply only to |
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a plan year that commences on or after January 1, 2026. |
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SECTION 3. This Act takes effect September 1, 2025. |