Texas SB636 amends insurance coverage rules for mental health and substance use disorders.

Texas SB636 amends the Insurance Code to enhance coverage for mental health conditions and substance use disorders under certain governmental health benefit plans. The bill specifies that certain health benefit plans must cover in-network and out-of-network inpatient and outpatient care, emergency care, and prescription drugs. It also mandates that the insurance commissioner enforce compliance with these coverage requirements. The changes apply to plan years commencing on or after January 1, 2026. The act takes effect September 1, 2025.

Texas SB636 amends insurance coverage rules for mental health and substance use disorders.

Texas SB636 amends the Insurance Code to enhance coverage for mental health conditions and substance use disorders under certain governmental health benefit plans. The bill specifies that certain health benefit plans must cover in-network and out-of-network inpatient and outpatient care, emergency care, and prescription drugs. It also mandates that the insurance commissioner enforce compliance with these coverage requirements. The changes apply to plan years commencing on or after January 1, 2026. The act takes effect September 1, 2025.