The bill, H.B. No. 778, introduces Chapter 1373 to the Texas Insurance Code, mandating health benefit plans to cover adverse effects and reversals related to gender transition procedures. It defines "gender transition" as a medical process that alters an individual's anatomy or mental state to align with their identified gender. The bill requires that any health benefit plan providing coverage for gender transition procedures must also cover all possible adverse consequences, necessary follow-up testing, and any procedures needed to manage or reverse the effects of such treatments. This coverage applies to enrollees regardless of their enrollment status at the time of the procedure.

Additionally, the bill specifies that it applies to various types of health benefit plans, including those offered by insurance companies, health maintenance organizations, and Medicaid programs, among others. However, it excludes self-funded health benefit plans as defined by the Employee Retirement Income Security Act. The provisions of this act will only apply to plans delivered, issued, or renewed on or after January 1, 2026, and the act is set to take effect on September 1, 2025.

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