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 ensures that such treatments are covered under the group benefits program.

Additionally, the bill allows the board of trustees to adopt any necessary rules to implement this new coverage requirement. The changes introduced by this Act will only apply to plan years commencing on or after January 1, 2026, and the Act is set to take effect on September 1, 2025.

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