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Texas HB 1396 expands mental health and substance use disorder coverage requirements to additional governmental health plans

Original title: Relating to coverage for mental health conditions and substance use disorders under certain governmental health benefit plans.

Last action · March 11, 2025: Referred to Pensions, Investments & Financial ServicesSponsor: James Talarico

Companion · SB 636same policy, Senate version
Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Texas HB 1396 broadens mental health and substance use disorder coverage mandates to apply to basic coverage plans under Chapter 1551 and Chapter 1601, affecting plan years commencing on or after January 1, 2026. The legislation requires applicable trustees, boards of trustees, or systems to enforce compliance with treatment limitation evaluations alongside the commissioner.

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Participants in governmental health benefit plans under Chapters 1551, 1575, 1579, and 1601

Their health plans become subject to statutory mental health and substance use disorder coverage and evaluation requirements starting in 2026.

Directly affected

Trustees, boards of trustees, or systems governing specified health plans

They are assigned the duty of enforcing compliance with treatment limitation evaluations for covered plans.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Which health plans are newly subjected to these mental health coverage requirements?
Basic coverage plans under Chapter 1551 and Chapter 1601 are included under the updated coverage mandates.
Who enforces compliance for the newly included plans under Section 1355.252(d)?
The applicable trustee, board of trustees, or system enforces compliance by evaluating benefits and coverage for treatment limitations.

What else do you want to know?

News Coverage

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Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

3 actions
  1. Mar 11, 2025HouseCommittee
    Referred to Pensions, Investments & Financial Services
  2. Mar 11, 2025HouseIntroduced
    Read first time
  3. Nov 19, 2024HouseIntroduced
    Filed

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Texas
locationTexas“State where the legislation is enacted”Map →

Sources

Open source document

capitol.texas.gov

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 65)
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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