Bill Text: TX HB831 | 2017-2018 | 85th Legislature | Comm Sub
Bill Title: Relating to coverage for treatment of craniofacial abnormalities under certain health benefit plans.
Spectrum: Bipartisan Bill
Status: (Introduced - Dead) 2017-05-11 - Placed on General State Calendar [HB831 Detail]
Download: Texas-2017-HB831-Comm_Sub.html
85R1704 MEW-D | ||
By: Anderson of McLennan, Howard, | H.B. No. 831 | |
Davis of Harris, Thompson of Harris, Vo |
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relating to coverage for treatment of craniofacial abnormalities | ||
under certain health benefit plans. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Subchapter D, Chapter 1367, Insurance Code, is | ||
amended by adding Section 1367.1535 to read as follows: | ||
Sec. 1367.1535. COVERAGE FOR TREATMENT OF CRANIOFACIAL | ||
ABNORMALITIES. A health benefit plan described by Section 1367.153 | ||
that provides coverage for reconstructive surgery for craniofacial | ||
abnormalities, as defined in accordance with that section, must | ||
provide coverage for the treatment of the primary conditions | ||
constituting craniofacial abnormalities and secondary conditions | ||
related to or arising from craniofacial abnormalities, including: | ||
(1) oral and facial surgery, surgical management, and | ||
follow-up care; | ||
(2) prosthetic treatments, including obturators and | ||
speech and feeding appliances; | ||
(3) orthodontic treatment and management; | ||
(4) preventive and restorative dentistry to ensure | ||
good health and adequate dental structures for orthodontic | ||
treatment or prosthetic management or therapy; | ||
(5) speech-language pathology services, including | ||
evaluation and therapy; | ||
(6) audiological assessments and amplification | ||
devices; | ||
(7) otolaryngological treatment and management; | ||
(8) psychological assessment and counseling; and | ||
(9) genetic assessment counseling for the parents and | ||
child. | ||
SECTION 2. The change in law made by this Act applies only | ||
to a health benefit plan that is delivered, issued for delivery, or | ||
renewed on or after January 1, 2018. A plan delivered, issued for | ||
delivery, or renewed before January 1, 2018, is governed by the law | ||
as it existed immediately before the effective date of this Act, and | ||
that law is continued in effect for that purpose. | ||
SECTION 3. This Act takes effect September 1, 2017. |