HB 1142 Texas House · 89th Legislature (2025)

Relating to coverage for mental health conditions and substance use disorders under certain governmental health benefit plans.

HB 1142 clarifies which Texas government health benefit plans must cover mental health conditions and substance use disorders. It amends the Insurance Code to specify that the coverage requirements apply to "basic coverage plans" under Chapters 1551, 1575, 1579, and 1601 - such as state employee or public employee health plans. The bill excludes certain policy types (like accident-only or limited disease coverage) from these requirements. It also establishes enforcement mechanisms for evaluating treatment limitations in key categories like inpatient care and prescription drugs. The bill was enacted on May 14, 2025, after passing the Texas Legislature.
Bill status passed 3 of 5 stages cleared
Introduction
Mar 2025
Committee Review
Apr 2025
House Passage
May 2025
Senate Passage
Governor
Introduced Mar 7, 2025 Last action May 15, 2025
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Engrossed · 7 edits · May 14, 2025
MODERATE
This bill amends the Texas Insurance Code to expand coverage requirements for mental health and substance use disorders across various governmental health benefit plans. The changes clarify which plans must comply with mental health parity laws, update compliance enforcement mechanisms, and revise effective dates for new plan years.
Scope change
The bill expands the scope of plans subject to mental health coverage requirements by explicitly including primary care coverage plans under Chapter 1579 and clarifying applicability to various governmental health benefit plan types.
SCOPE

Updated Section 1355.002(b) to explicitly include primary care coverage plans under Chapter 1579 as subject to mental health coverage requirements.

REQUIREMENT

Modified Section 1355.255 to clarify compliance enforcement procedures for evaluating quantitative and nonquantitative treatment limitations.

Revised Section 1368.002 to clarify applicability requirements for health benefit plans covering mental health services.

Updated Section 1368.005 to remove durational limits and dollar limits language for mental health coverage parity requirements.

Repealed Section 1355.003(b) which previously contained certain exclusions from mental health coverage requirements.

TIMELINE

Changed effective date from January 1, 2026 for plan years to January 1, 2026 for plan delivery/issuance/renewal, with existing plans governed by prior law.

DEFINITION

Revised Section 1368.003 exceptions to clarify which insurance policies are excluded from mental health coverage requirements.

Floor votes · House May 14, 2025

How they voted

10534
Passed · 5 other
Total votes 144
May 14, 2025
D Democratic59
56 Yea 1 Nay 2
94% Yea
R Republican85
49 Yea 33 Nay 3
57% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
27
Key actions
8
Committee
6
Amendments
2
May 15, 2025
Introduced
Received from the House
upper
May 14, 2025
Lower · Passed
Passed
lower
May 13, 2025
Lower · Passed
Passed to engrossment as amended
lower
May 13, 2025
Lower · Passed
Amended
lower
Apr 2, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 1, 2025
Lower · Passed
Committee report distributed
lower
Mar 24, 2025
Lower · Passed
Reported favorably as substituted
lower
Mar 17, 2025
Lower · Passed
Left pending in committee
lower
Mar 17, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Mar 7, 2025
Committee
Referred to Pensions, Investments & Financial Services
lower
Mar 7, 2025
Introduced
Read first time
lower
4 primary · 1 co-sponsor

Sponsors