Relating to the eligibility of certain individuals younger than 65 years of age to purchase Medicare supplement benefit plans.

HB 2516, the Chris Larkin ALS Act, requires Texas insurers to offer Medicare supplement plans (Medigap) to people under 65 who qualify for Medicare due to disability, end-stage renal disease, or amyotrophic lateral sclerosis (ALS). It mandates that these individuals receive the same coverage and premium rates as those 65 and older for standard plans (A, B, D), with non-standard plans capped at 200% of the 65+ rate. The bill creates a six-month enrollment window starting when a qualifying individual first enrolls in Medicare Part B, during which insurers cannot deny coverage, charge more for health conditions, or impose waiting periods. This law directly affects Texans under 65 with qualifying medical conditions who rely on Medicare, ensuring equitable access to supplemental insurance without medical underwriting. The bill became effective immediately on June 20, 2025.