Relating to operation by certain nonprofit organizations of certain regional health care programs for employees of small employers.

HB 2655 allows certain nonprofit organizations to operate regional health care programs for employees of small employers without requiring approval from county commissioners courts. These programs must be premium assistance initiatives (not direct health care providers) and aim to reduce uninsured rates, lower health care costs for small businesses, and promote preventive care like managing diabetes or heart disease. The bill amends Texas Health and Safety Code to permit nonprofits to directly govern such programs, replacing the previous requirement for county commissioner court oversight in eligible regions. It directly affects small employers (typically those with fewer than 50 employees) and their workers in participating counties who gain access to these alternative health coverage options starting September 1, 2025.