TITLE: Relating to coverage of medically necessary health care and treatment under the state employees group benefits program.

SUMMARY: Relating to coverage of medically necessary health care and treatment under the state employees group benefits program.

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