Texas 2021 - 87th Regular

Texas Senate Bill SB51

Caption

Relating to the requirement and study of insurance coverage for serious emotional disturbance of a child.

Impact

The introduction of SB51 is poised to have a significant impact on state laws governing health benefits for children. By making treatment for serious emotional disturbances accessible and covered under standard health plans, the bill aims to address gaps in mental health care that many children currently face. Patients will benefit from equal coverage terms for mental health as those provided for physical health issues, which previous limitations had not guaranteed. This legislative change reflects a growing recognition of the importance of mental health treatment in early intervention and overall child welfare.

Summary

SB51 is a legislative bill aimed at ensuring comprehensive insurance coverage for serious emotional disturbances in children. This bill amends the Texas Insurance Code to mandate that group health benefit plans provide specific coverage for children diagnosed with serious emotional disturbances. The definition includes various emotional and behavioral disorders that significantly impair a child's functioning in daily activities. The required insurance coverage includes at least 45 days of inpatient treatment and up to 60 outpatient visits annually, without imposing lifetime limits on either type of treatment.

Conclusion

In conclusion, SB51 represents a crucial step towards improving mental health support for Texas children by ensuring they receive necessary treatment without disproportionate financial barriers. As the bill moves forward, ongoing evaluation and adjustments may be necessary to balance the needs of insurance affordability with the imperative of accessible mental health care.

Contention

Despite the well-meaning provisions of SB51, there were concerns raised during discussions regarding potential costs associated with its implementation. Critics have highlighted that while enhanced coverage is necessary, the bill could lead to increased premiums for health plans or challenges for insurers in managing these new requirements. Furthermore, there were discussions about the adequacy of the funded treatments and the need for continuous evaluation of the impact that the mandated coverage may have on overall healthcare costs in the state.

Companion Bills

TX HB240

Same As Relating to the requirement and study of insurance coverage for serious emotional disturbance of a child.

Previously Filed As

TX HB340

Relating to the requirement and study of insurance coverage for serious emotional disturbance of a child.

TX HB5230

Relating to health benefit plan coverage of prescription drugs for serious mental illnesses and opioid and substance use disorders.

TX HB1288

Relating to health benefit plan coverage for early childhood intervention services.

TX HB1452

Relating to insurance coverage for the disposition of embryonic and fetal tissue remains.

TX HB1128

Relating to availability of and benefits provided under health benefit plan coverage.

TX HB4912

Relating to availability of and benefits provided under health benefit plan coverage.

TX HB1532

Relating to professional liability insurance coverage for and prohibitions on the provision to certain children of procedures and treatments for gender transitioning, gender reassignment, or gender dysphoria and to the abuse of a child.

TX HB4713

Relating to group health benefit plan coverage for early treatment of first episode psychosis.

TX SB1220

Relating to group health benefit plan coverage for early treatment of first episode psychosis.

TX HB1647

Relating to health benefit plan coverage of clinician-administered drugs.

Similar Bills

No similar bills found.