Bill Text: TX HB2412 | 2025-2026 | 89th Legislature | Introduced
Bill Title: Relating to health benefit plan coverage for certain obesity medications.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced) 2025-02-04 - Filed [HB2412 Detail]
Download: Texas-2025-HB2412-Introduced.html
| 89R11882 SCF-D | ||
| By: Bucy | H.B. No. 2412 | |
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| relating to health benefit plan coverage for certain obesity | ||
| medications. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. Chapter 1369, Insurance Code, is amended by | ||
| adding Subchapter R to read as follows: | ||
| SUBCHAPTER R. COVERAGE FOR CERTAIN OBESITY MEDICATIONS | ||
| Sec. 1369.781. APPLICABILITY OF SUBCHAPTER. (a) This | ||
| subchapter applies only to a health benefit plan that provides | ||
| benefits for medical or surgical expenses incurred as a result of a | ||
| health condition, accident, or sickness, including an individual, | ||
| group, blanket, or franchise insurance policy or insurance | ||
| agreement, a group hospital service contract, or an individual or | ||
| group evidence of coverage or similar coverage document that is | ||
| issued by: | ||
| (1) an insurance company; | ||
| (2) a group hospital service corporation operating | ||
| under Chapter 842; | ||
| (3) a health maintenance organization operating under | ||
| Chapter 843; | ||
| (4) an approved nonprofit health corporation that | ||
| holds a certificate of authority under Chapter 844; | ||
| (5) a multiple employer welfare arrangement that holds | ||
| a certificate of authority under Chapter 846; | ||
| (6) a stipulated premium company operating under | ||
| Chapter 884; | ||
| (7) a fraternal benefit society operating under | ||
| Chapter 885; | ||
| (8) a Lloyd's plan operating under Chapter 941; or | ||
| (9) an exchange operating under Chapter 942. | ||
| (b) Notwithstanding any other law, this subchapter applies | ||
| to: | ||
| (1) a basic coverage plan under Chapter 1551; | ||
| (2) a basic plan under Chapter 1575; | ||
| (3) a primary care coverage plan under Chapter 1579; | ||
| and | ||
| (4) the state Medicaid program, including the Medicaid | ||
| managed care program operated under Chapter 540, Government Code. | ||
| Sec. 1369.782. COVERAGE REQUIRED FOR CERTAIN OBESITY | ||
| MEDICATIONS. A health benefit plan that provides prescription drug | ||
| benefits must provide coverage for a prescription drug that is a | ||
| glucagon-like peptide-1 receptor agonist to treat obesity. | ||
| SECTION 2. If before implementing any provision of this Act | ||
| a state agency determines that a waiver or authorization from a | ||
| federal agency is necessary for implementation of that provision, | ||
| the agency affected by the provision shall request the waiver or | ||
| authorization and may delay implementing that provision until the | ||
| waiver or authorization is granted. | ||
| SECTION 3. Subchapter R, Chapter 1369, Insurance Code, as | ||
| added by this Act, applies only to a health benefit plan delivered, | ||
| issued for delivery, or renewed on or after January 1, 2026. | ||
| SECTION 4. This Act takes effect September 1, 2025. | ||
