The bill, H.B. No. 2119, aims to amend the Texas Insurance Code by prohibiting health benefit plan issuers from requiring preauthorization for specific medical services and treatments. The new provisions include a ban on preauthorization for screening mammograms, diagnostic imaging, reconstructive surgeries, diabetes equipment and supplies, bone mass measurements, and diagnostic examinations for enrolled males. Each section emphasizes that these changes do not authorize healthcare providers to perform services outside their licensed scope of practice.

The bill introduces several new subsections across various sections of the Insurance Code, specifically Sections 1356.005, 1357.004, 1357.054, 1358.054, 1361.003, 1362.003, and 1363.003, which collectively reinforce the requirement for coverage without preauthorization for the specified medical services. The legislation is set to take effect on September 1, 2025, and will apply to health benefit plans that are delivered, issued for delivery, or renewed on or after January 1, 2026.

Statutes affected:
Introduced: Insurance Code 1356.005, Insurance Code 1357.004, Insurance Code 1357.054, Insurance Code 1358.054, Insurance Code 1361.003, Insurance Code 1362.003, Insurance Code 1363.003 (Insurance Code 1363, Insurance Code 1356, Insurance Code 1362, Insurance Code 1358, Insurance Code 1361, Insurance Code 1357)