H.B. No. 388 introduces a new subchapter to the Texas Insurance Code, specifically Subchapter D, which focuses on the establishment of a uniform coordination of benefits questionnaire for health benefit plans. This subchapter applies to various 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 stipulates that the commissioner must adopt the rules for the uniform questionnaire by January 1, 2026, and that these changes will only apply to the use of the questionnaire starting February 1, 2026. The act is set to take effect on September 1, 2025. This initiative aims to streamline the process of coordinating benefits across different health plans, thereby improving efficiency and clarity for both providers and patients.

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