Texas HB504 mandates health benefit plans to cover hair prostheses for cancer patients undergoing or having undergone treatment.
HB504 amends the Texas Insurance Code to require health benefit plans to cover hair prostheses for cancer patients. The coverage must be for a prosthesis deemed appropriate by the patient's treating physician. The benefit amount must be at least $100 for the prosthesis or its repair or replacement, unless the need for repair or replacement is due to misuse or loss by the patient. No additional premium can be charged for this coverage. The provisions apply to various health benefit plans, including Medicaid, and take effect September 1, 2025.
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