H.B. No. 1052 amends the Texas Insurance Code to enhance health benefit plan coverage for telemedicine, teledentistry, and telehealth services provided from locations outside the state. The bill introduces new definitions for "distant site" and "originating site," clarifying the locations where these services are provided and received. Additionally, it defines "health professional" to include various licensed individuals who can deliver these services under supervision.

The bill mandates that health benefit plans must cover telemedicine, teledentistry, and telehealth services delivered from out-of-state sites on the same terms as in-state services, provided that the recipient resides primarily in Texas and the health professional is licensed in Texas and has a physical office in the state. This provision will take effect for plans issued or renewed on or after January 1, 2026, while existing plans will continue under the previous law until that date. The act is set to take effect on September 1, 2025.

Statutes affected:
Introduced: Insurance Code 1455.001, Insurance Code 1455.004 (Insurance Code 1455)
House Committee Report: Insurance Code 1455.001, Insurance Code 1455.004 (Insurance Code 1455)
Engrossed: Insurance Code 1455.001, Insurance Code 1455.004 (Insurance Code 1455)
Senate Committee Report: Insurance Code 1455.001, Insurance Code 1455.004 (Insurance Code 1455)
Enrolled: Insurance Code 1455.001, Insurance Code 1455.004 (Insurance Code 1455)