The bill, H.B. No. 1883, proposes an amendment to the Texas Insurance Code by adding Section 1551.2255, which mandates the board of trustees of the state employees group benefits program to develop a plan for providing coverage for any health care or treatment that is deemed medically necessary by a participant's treating physician or health care provider. This new provision emphasizes the importance of medically necessary care and allows the board to adopt rules to implement the coverage effectively.

The changes introduced by this bill will take effect for plan years commencing on or after January 1, 2026, with the overall effective date of the Act set for September 1, 2025. This timeline allows for the necessary preparations and adjustments to be made by the board of trustees and the health care providers involved in the state employees group benefits program.

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