Health benefit plans must cover medically necessary general anesthesia for pediatric dental services for children under 13 with documented needs.

This bill amends the Texas Insurance Code to require health benefit plans to cover medically necessary general anesthesia for pediatric dental services for children under 13 who cannot undergo the service without anesthesia due to documented physical, mental, or medical reasons. The coverage applies to various types of health benefit plans, including small employer plans, standard health benefit plans, and others. The changes take effect on September 1, 2025.

Health benefit plans must cover medically necessary general anesthesia for pediatric dental services for children under 13 with documented needs.

This bill amends the Texas Insurance Code to require health benefit plans to cover medically necessary general anesthesia for pediatric dental services for children under 13 who cannot undergo the service without anesthesia due to documented physical, mental, or medical reasons. The coverage applies to various types of health benefit plans, including small employer plans, standard health benefit plans, and others. The changes take effect on September 1, 2025.