Texas HB3942 mandates coverage for medically necessary general anesthesia in pediatric dental services for children under 13 with documented.
HB3942 amends the Texas Insurance Code to ensure that health benefit plans covering general anesthesia cannot exclude medically necessary anesthesia services for pediatric dental procedures. This applies to children under 13 who cannot undergo dental services without general anesthesia due to documented physical, mental, or medical reasons. The anesthesia must be performed by a qualified provider. The changes apply to various health benefit plans, including small employer plans, standard health benefit plans, and self-funded plans. The act takes effect September 1, 2025.
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