Texas 2023 - 88th Regular

Texas House Bill HB700

Voted on by House
 
Out of Senate Committee
 
Voted on by Senate
 
Governor Action
 
Bill Becomes Law
 

Caption

Relating to creation of the Texas Health Insurance Exchange; authorizing an assessment.

Impact

If passed, HB 700 would authorize the Texas Health Insurance Exchange to operate independently, governed by a board appointed by state officials. The bill allows for assessments to be levied on health benefit plan issuers for operational funding, which could help sustain the exchange financially. Additionally, it outlines requirements for establishing a subsidy program for individuals and small employers, thereby addressing financial barriers to coverage. This legislation would fundamentally reshape the landscape of health insurance in Texas, reflecting a move towards more localized control over healthcare access.

Summary

House Bill 700 aims to establish the Texas Health Insurance Exchange, creating a state-based marketplace for health insurance in alignment with the Affordable Care Act. It enables Texas to administer its own exchange, where individuals and small businesses can purchase health benefit plans. The exchange is intended to facilitate better access to healthcare options in Texas while managing costs and providing a robust framework for individual and group health insurance coverage. The establishment of this exchange would mark a significant shift in how state residents access health insurance, allowing for greater localized control and potentially improved consumer experiences.

Sentiment

The sentiment surrounding HB 700 appears to be mixed, with proponents arguing that it would enhance access to affordable health insurance and provide much-needed resources for Texans facing high healthcare costs. Supporters include groups advocating for small businesses and improved healthcare funding. Conversely, there are significant concerns voiced by various stakeholders regarding the potential impacts on health coverage accessibility, particularly fears that it may not adequately address the needs of lower-income families. Several individuals and organizations have expressed opposition, believing the exchange does not go far enough in ensuring equitable healthcare access.

Contention

Debate around HB 700 includes concerns about the effectiveness of the proposed Texas Health Insurance Exchange in providing sufficient coverage options in a state with a high rate of uninsured residents. Some critics argue that the exchange could unintentionally perpetuate disparities in healthcare access, especially for marginalized communities. Additionally, the financial assessments that funding the exchange may challenge the competitiveness of the market. Ultimately, the bill's journey through the legislature might shape its final dimensions based on the ongoing negotiations and feedback from public hearings.

Companion Bills

TX HB2554

Duplicate Relating to creation of the Texas Health Insurance Exchange; authorizing an assessment.

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