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, health maintenance organizations, and Medicaid programs, among others. The bill mandates that the commissioner of insurance collaborate with stakeholders to create this uniform questionnaire, which must be adopted by January 1, 2026.

Furthermore, the bill requires that all health benefit plan issuers that include a coordination of benefits provision utilize the established questionnaire and make it accessible to healthcare providers as necessary. The changes enacted by this bill will take effect on September 1, 2025, and will apply to the use of the coordination of benefits questionnaire starting February 1, 2026.

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