Texas House Bill HB1797

Texas 2015 - 84th Regular

Caption

Relating to coverage for certain individuals under certain health benefit plans offered to governmental employees.

Impact

The bill will amend various chapters of the Insurance Code, specifically concerning health insurance for government employees. By including 'qualified individuals' as a category eligible for coverage, the legislation encourages a more inclusive approach to providing health benefits. It mandates that the state contribute to the costs associated with 'qualified individuals' in a manner similar to how it contributes for dependents of employees, significantly impacting both the financial aspects of the insurance programs and the individuals' access to healthcare.

Summary

House Bill 1797 focuses on expanding health benefit coverage eligibility under Texas laws for certain individuals who are connected with governmental employees. The bill introduces the concept of 'qualified individuals,' defined as unmarried individuals who are at least 18 years old, financially interdependent, and cohabitating with an eligible governmental employee. This change allows these individuals to receive benefits similar to those provided for dependents, thus broadening the scope of who can be covered under the state’s health benefit programs.

Contention

While the bill seeks to modernize insurance coverage in response to changing social dynamics, there are concerns regarding its implications and potential discrepancies in defining financial interdependence. Critics may argue that the broad definition of a 'qualified individual' could lead to complexities in determining eligibility for coverage, particularly regarding financial documentation and the relationship's legitimacy. Furthermore, debates surrounding state funding allocations for these expanded benefits might arise as stakeholders assess the fiscal impacts of implementing this change.