Texas Statutes
Parity Report
Legislation Signed into Law
2021
Primary Focus | Creates a MH/SUD Parity Compliant Portal |
Title/Description | Implements an educational campaign and complaint tracking system |
Citation | Texas Sections Subchapter D, 662.115 (new), 1355.2571-2 (note: See Texas Ins Code Chapter 1355, Subchapter F) |
Summary | The legislation creates a parity complaint portal with basic tracking and reporting features to ensure that an enrollee’s complaint can be filed and followed-up in a timely fashion. It also requires the annual reporting of key parity metrics including complaints by state officials, which is coordinated through the Texas Insurance Department in collaboration with the Health and Human Services Commission’s ombudsman for behavioral health. The new law also establishes a mental health awareness month (October) and requires educational materials be developed and shared through various distribution channels. |
Effective Date | September 1, 2021 |
Notes | Enacted through TX HB 2595; signed by the Governor June 15, 2021 |
2017-2018
Primary Focus | Parity Enforcement |
Title/Description | An Act Relating to Access and Benefits for Mental Health Conditions and Substance Use Disorders |
Citation | Tex. Gov’t Code Ann. §§ 531.02251 |
Citation | 531.02252 |
Summary | Tex. Gov’t Code Ann. §§ 531.02251, 531.02252 established an ombudsman and parity work group to help consumers and providers resolve behavioral health care access issues and increase compliance with parity laws. Specifically, the Health and Human Services Commission shall: Moreover, the Act instructs the Texas Department of Insurance to: |
Effective Date | September 1, 2017 |
Notes | Enacted by HB 10, which created Tex. Gov’t Code Ann. §§ 531.02251, 531.02252. |
Primary Focus | Mandated Benefit: Provider |
Title/Description | Coverage for Maternal Depression Screening |
Citation | Tex. Health & Safety Code § 62.1511 |
Summary | The covered services under the child health plan must include a maternal depression screening for an enrollee’s mother. |
Effective Date | September 1, 2017 |
Notes | Enacted through HB 2466 (85th Regular session) |
Primary Focus | Mandated Benefit: Provider |
Title/Description | Coverage for Mental Health Conditions and Substance Use Disorders |
Citation | Tex. Ins. Code § 1355.254 |
Summary | A health benefit plan must provide benefits and coverage for mental health conditions and substance use disorders under the same terms and conditions applicable to the plan’s medical and surgical benefits and coverage. Coverage may not impose quantitative or nonquantitative treatment limitations on benefits for a mental health condition or substance use disorder that are generally more restrictive than those imposed on coverage for medical or surgical expenses. |
Effective Date | September 1, 2017 per Tex. SB 769. |
Notes | Enacted through HB 10 (85th Regular Session) |
HB.10
Introduced | 02/2017 |
Sponsor | Reps. Price, Greg Bonnen, Coleman, Munoz Jr., and Rose |
Status | Signed into law 6/2017 |
Summary | This bill changed the section of the state insurance law relevant to parity by adding several new sections to the law, creating an ombudsman for behavioral health access to care, and by creating a state parity working group. The new sections of the law add requirements that are very similar to the final regulations of the Federal Parity Law. This is important because currently, the Texas Department of Insurance does not have the authority to enforce the Federal Parity Law. These requirements entail the following:
These new sections also require the Texas Insurance must also “collect and compare” data from health plans about behavioral health coverage and other medical coverage regarding:
The new sections also require the state Health and Human Services Commission to collect the same data from Medicaid managed care organizations. |
2013-2014
Primary Focus | Medicaid |
Title/Description | Behavioral Health and Physician Health Services Network |
Citation | Tex. Gov’t Code § 533.00255 |
Summary | The commission shall, to the greatest extent possible, integrate into the Medicaid managed care program implemented under this chapter the following services for Medicaid-eligible persons: |
Effective Date | June 14, 2013 |
Notes | Enacted through SB 58 ( 83rd Regular Session) |
HB.3276
Introduced | 03/2013 |
Sponsor | Rep. Deuell |
Status | Signed into law 6/2014 |
Summary | This bill changed the section of the state insurance law relevant to parity so that individual plans,small employer fully-insured plans, and large employer fully-insured plans are required to screen for autism spectrum disorders. It also specified that professionals who are working under the supervision of qualified providers may provide services for treatment of autism. |
SB.1484
Introduced | 03/2013 |
Sponsor | Sen. Watson, Sen. Davis, Sen. Lucio |
Status | Signed into law 6/2014 |
Summary | This bill changed the section of the state insurance law relevant to parity so that individual plans,small employer fully-insured plans, and large employer fully-insured plans are required to provide coverage for generally recognized services for autism spectrum disorder for children beyond their tenth birthdays. Prior to this bill becoming law, insurers were only required to cover autism spectrum disorder treatment through age nine. |
HB.451
Introduced | 12/2008 |
Sponsor | 12/2008 |
Sponsor | Rep. Lucio |
Status | Signed into law 07/2009 |
Summary | This bill amended the autism section of the Insurance Code to require health plans provide coverage for enrollees from the date of diagnosis through age 9. Previously, coverage had only been required through age 6. |
National Parity Map
View the state parity reports to learn about legislation, regulation, and litigation related to parity implementation
National Parity MapGet Support
- Texas Insurance Division
- http://www.mhatexas.org/
- gyl@mhatexas.org
- 512-903-4186
Common Violations
In seeking care or services, be aware of the common ways parity rights can be violated.