Relating to health benefit coverage for hearing aids for children and adults.
The implementation of HB 109 is expected to broaden the options available to patients requiring hearing aids, thus affecting the insurance coverage landscape in Texas. This law does not impose new requirements for insurers; rather, it allows enrollees the flexibility to choose devices that may benefit their health and lifestyle beyond the limits of their insurance policies. Since it only applies to new plans starting from January 2024, existing policies will continue to operate under current regulations until they are renewed.
House Bill 109 amends the Texas insurance code to prevent health benefit plans from denying coverage for hearing aids based solely on the price exceeding the benefit available under the health plan. The aim is to facilitate access to hearing aids for both children and adults, ensuring that individuals can choose to purchase higher-priced hearing aids while still receiving coverage. This bill addresses the issue where, under existing law, certain health insurance plans do not allow patients to select improved hearing aid devices if they cost more than the plan covers, even if the patient is willing to pay the difference.
The overall sentiment surrounding HB 109 appears to be positive, particularly among healthcare professionals and advocates for the hearing impaired. Supporters argue that it promotes better access to necessary medical devices, ultimately leading to improved health outcomes. However, some insurance entities expressed concerns that the bill might create challenges related to cost management and risk for insurance providers.
Notable contention arose during discussions regarding the financial implications for insurers, as some representatives from the insurance sector opposed the bill on the grounds that it could escalate costs without providing clear preventive benefits. Critics of the bill argue that while it seeks to enhance access to hearing aids, it could also lead to increased premiums or limited coverage options from health plans in the future, potentially impacting the insurance market dynamics.
Insurance Code
Government Code