Texas House Bill HB2528

Texas 2025 - 89th Regular

• Filed: 2/6/25

Caption

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

Impact

The passage of HB2528 would have significant implications for state laws governing healthcare insurance practices. If enacted, it would impose obligations on health benefit plans to cover essential prescription medications related to opioid and substance use disorder treatments. This change could potentially improve health outcomes for many individuals by increasing their access to effective treatment options, contributing to a broader effort to combat substance misuse and dependency within the state.

Summary

House Bill 2528 pertains to the coverage of prescription drugs under health benefit plans, specifically focusing on treatments for opioid and substance use disorders. This legislation aims to ensure that individuals suffering from these conditions have easier access to necessary medications, which is a critical need given the ongoing opioid crisis affecting many communities. By mandating coverage for these drugs, the bill seeks to provide a more robust support system for those in recovery or requiring treatment for substance use issues.

Contention

While HB2528 appears to have strong intentions to address a public health concern, it may also generate discussions around the costs associated with mandated coverage. Opponents of such measures sometimes argue that requiring health plans to cover additional medications may lead to higher premiums for consumers. Furthermore, there may be debates over how the coverage is implemented and the specific medications that are included under the mandate. Stakeholders such as insurance providers, healthcare professionals, and advocacy groups will likely engage in discussions to pinpoint the balance between ensuring access to necessary treatments and managing the financial implications for health plans and their members.

Texas Constitutional Statutes Affected

Insurance Code

• Chapter 1369. Benefits Related To Prescription Drugs And Devices And Related Services
  • Section: New Section