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Read. Follow. Verify.Texas requires group health plans to cover early treatment for first episode psychosis for enrollees under 26
Last action · March 12, 2025: Referred to InsuranceSponsors: Mihaela Pleșa and 1 other
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What This Bill Proposed
Relating to group health benefit plan coverage for early treatment of first episode psychosis.
Enrollees under 26 gain mandated insurance coverage for specialized mental health services like and , while health plan issuers must alter provider reimbursement methods to a starting March 30, 2026.
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.
group health benefit plan issuers
Issuers must provide mandated coverage for early treatment of first episode psychosis for enrollees under 26, reimburse providers using a bundled payment model, and participate in a work group.
individuals younger than 26 years of age diagnosed with first episode psychosis
Enrollees receive guaranteed group health plan coverage for generally recognized services and team-based treatment models for first episode psychosis based on medical necessity.
providers of coordinated specialty care and assertive community treatment
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
Who is eligible for the mandated coverage?
When do health benefit plans have to start complying with these coverage rules?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · in House committee.
Procedural history
3 actions- Mar 12, 2025HouseCommitteeReferred to Insurance
- Mar 12, 2025HouseIntroducedRead first time
- Dec 12, 2024HouseIntroducedFiled
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
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Transition to Bundled Reimbursement
The legislation shifts health plan reimbursement away from individual service billing toward a bundled payment model specifically for multidisciplinary psychosis care teams.
Connected Entities
Sources
capitol.texas.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 75)
- Controversy40Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz35Current news / social attention level
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