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 a wide range of health benefit plans, including individual and group insurance policies, hospital service contracts, and various health coverage documents issued by different types of organizations such as insurance companies, health maintenance organizations, and nonprofit health corporations. The bill mandates that the commissioner of insurance adopt rules to create this uniform questionnaire in collaboration with relevant stakeholders, ensuring that all health benefit plan issuers utilize the same format.

Additionally, the bill requires that each health benefit plan issuer that includes a coordination of benefits provision must use the established questionnaire and make it available to healthcare providers as necessary. The commissioner is tasked with adopting the rules for the questionnaire by January 1, 2026, and the new requirements will take effect on February 1, 2026. The act is set to become effective on September 1, 2025.

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