Texas HB1594 requires group health benefit plans to cover early treatment for first episode psychosis in individuals under 26 years old.

HB1594 mandates that group health benefit plans provide coverage for early treatment of first episode psychosis in individuals under 26 years old. This includes coordinated specialty care, assertive community treatment, and peer support services. The Texas Department of Insurance must establish criteria for medical necessity and create a coding solution for bundled payment models. If premiums increase by more than one percent due to this coverage, plans may opt out of covering specific treatment models. The law takes effect September 1, 2025.

Texas HB1594 requires group health benefit plans to cover early treatment for first episode psychosis in individuals under 26 years old.

HB1594 mandates that group health benefit plans provide coverage for early treatment of first episode psychosis in individuals under 26 years old. This includes coordinated specialty care, assertive community treatment, and peer support services. The Texas Department of Insurance must establish criteria for medical necessity and create a coding solution for bundled payment models. If premiums increase by more than one percent due to this coverage, plans may opt out of covering specific treatment models. The law takes effect September 1, 2025.