HB 4046 Texas House · 89th Legislature (2025)

Relating to an enrollee's cost-sharing liability for emergency care under a health benefit plan.

HB 4046 requires health benefit plan issuers (like private insurance companies) to cover the full cost of emergency care for enrollees, including the enrollee's out-of-pocket share (such as deductibles or coinsurance). This applies to all private health plans covered under Texas Insurance Code, excluding Medicaid. Under the bill, issuers must pay providers the full amount directly and collect any required cost-sharing from enrollees themselves - preventing providers from billing enrollees for emergency care costs. The law defines "emergency care" per existing Texas law and excludes Medicaid programs from its requirements.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 27, 2025 Last action Mar 27, 2025
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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Mar 27, 2025
Committee
Referred to Insurance
lower
Mar 27, 2025
Introduced
Read first time
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
MG
Mary González
DDemocratic
TX
75