The bill, S.B. No. 1274, aims to amend the Texas Insurance Code by adding a new subchapter that specifically addresses the coverage of prescription drugs for the prevention of human immunodeficiency virus (HIV) infections. It establishes that health benefit plans providing medical, surgical, or prescription drug benefits must include coverage for these preventive drugs without requiring prior authorization from the enrollee. The bill outlines the applicability of this new subchapter to various types of health benefit plans, including those under Medicaid and other state programs, while also specifying exceptions for certain individual health plans issued before March 23, 2010.

Additionally, the bill stipulates that if a state agency determines that federal authorization is necessary for any provision of the Act, implementation may be delayed until such authorization is granted. The changes introduced by this Act will apply to health benefit plans that are delivered, issued for delivery, or renewed on or after January 1, 2026, with the Act itself taking effect on September 1, 2025.

Statutes affected:
Introduced: ()