House Bill No. 3942 aims to amend the Texas Insurance Code by adding a new Subchapter G, which specifically addresses health benefit coverage for general anesthesia related to certain pediatric dental services. The bill stipulates that health benefit plans must provide coverage for medically necessary general anesthesia services for individuals under 13 years of age who cannot undergo dental procedures without such anesthesia due to documented physical, mental, or medical reasons. The anesthesia must be administered by a qualified provider. Additionally, the bill clarifies that it does not mandate coverage for dental care or procedures themselves.

The provisions of this new subchapter will apply to various types of health benefit plans, including individual and group insurance policies, health maintenance organizations, and self-funded plans, among others. However, the requirements will only take effect for plans delivered, issued for delivery, or renewed on or after January 1, 2026. The bill is set to take effect on September 1, 2025.

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