H.B. No. 388 introduces a new subchapter to the Texas Insurance Code, specifically Subchapter D, which establishes a uniform coordination of benefits questionnaire for health benefit plans. This subchapter applies to various types of health benefit plans, including individual and group insurance policies, hospital service contracts, and Medicaid programs, among others. The bill mandates that the commissioner of insurance collaborate with stakeholders to create this standardized questionnaire, which must be utilized by all health benefit plan issuers that include a coordination of benefits provision.

The bill requires that the uniform coordination of benefits questionnaire be adopted by January 1, 2026, and specifies that its use will be mandatory starting February 1, 2026. This initiative aims to streamline the process of coordinating benefits among different health plans, thereby improving efficiency and clarity for both providers and patients. The act is set to take effect on September 1, 2025.

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