HB 2580
AN ACT relating to a study on health benefit plan coverage for certain
89th Regular Session
Jan 14, 2025 - Jun 2, 2025 • Session ended
Awaiting Committee Assignment
Bill filed, pending referral to House committee
Committee
Not yet assigned
Fiscal Note
Not available
What This Bill Does
The Texas Department of Insurance will conduct a comprehensive study on health benefit plan coverage for traumatic brain injury (TBI) treatments, examining claims, current coverage, and potential impacts of factors like substance abuse on TBI treatment. The study will review claim types and outcomes, analyze health plan coverage exclusions, and determine the effects of various factors on TBI treatment accessibility. By December 1, 2026, the department will submit a detailed report to state leadership with findings and potential recommendations for improving TBI treatment coverage, with the study and related provisions expiring on September 1, 2027.
Subject Areas
Bill Text
relating to a study on health benefit plan coverage for certain treatments of traumatic brain injuries. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: (1) "Department" means the Texas Department of (2) "Traumatic brain injury" means an acquired injury to the brain, including brain injuries caused by anoxia due to near drowning. The term does not include brain dysfunction caused by congenital or degenerative disorders or birth trauma. (3) "Traumatic brain injury treatment" means cognitive rehabilitation therapy, cognitive communication therapy, neurocognitive therapy and rehabilitation, neurobehavioral, neurophysiological, neuropsychological, and psychophysiological testing and treatment, neurofeedback therapy, and remediation required for and related to treatment of a traumatic brain injury. (b) The department, in consultation with the Texas Traumatic Brain Injury Advisory Council, shall conduct a study on the effect of Chapter 1352, Insurance Code, on the coverage of traumatic brain injury treatment by health benefit plans offered in (c) In conducting the study, the department shall: (1) review the number, types, and outcome of claims made in this state for treatment of traumatic brain injuries; (2) review the coverage offered for traumatic brain injury treatment by health benefit plans in this state; (3) determine the effect, if any, of substance abuse, including opioid abuse and addiction, on traumatic brain injury coverage and treatment in this state; and (4) analyze the effect of any exclusions or exceptions in health benefit plan coverage of traumatic brain injury treatment, including exclusions for injuries caused by self-harm or (d) In conducting the study, the department may request from a health benefit plan issuer and a health benefit plan issuer shall provide deidentified and aggregated information on claims for (e) Not later than December 1, 2026, the department shall submit to the governor, the lieutenant governor, the speaker of the house of representatives, and the chair of the standing committee of each house of the legislature with primary jurisdiction over the department a written report that includes: (1) the findings of the study conducted under this (2) any recommendations for legislative or other action related to coverage and treatment of traumatic brain (f) This Act expires September 1, 2027. SECTION 2. This Act takes effect September 1, 2025.
Bill History
Bill filed: AN ACT relating to a study on health benefit plan coverage for certain
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