Relating to a uniform coordination of benefits questionnaire for health benefit plans.
HB 388 requires Texas' Insurance Commissioner to create a single, standardized questionnaire for health benefit plans to determine which insurance policy pays first when a person has multiple coverages (like employer and individual plans). It applies to nearly all health plans in Texas, including employer group plans, Medicaid, HMOs, health insurance exchanges, and school district coverage. The key provision mandates the commissioner to develop uniform rules for this questionnaire after consulting with stakeholders, replacing inconsistent forms used by different insurers. This aims to simplify the process for patients and insurers managing overlapping coverage.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2025
Committee Review
May 2025
House Passage
May 2025
Senate Passage
May 2025
Signed into Law
Jun 2025
Introduced Feb 28, 2025
Signed Jun 20, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Engrossed
→
Enrolled
·
3 edits
·
Jun 20, 2025
MINOR
The bill text was converted from a draft 'Engrossed' version to the final 'Enrolled' version ready for signature. The substantive policy content regarding the coordination of benefits questionnaire remains unchanged, with only formatting, spacing, and signature lines added to finalize the document.
TECHNICAL
Added header information identifying the bill as the 'Enrolled version' and included signature lines for the President of the Senate, Speaker of the House, Secretary of the Senate, and Governor.
Removed draft formatting artifacts, including page numbers, bill tracking codes (e.g., '89R724'), and placeholder text used during the legislative process.
Adjusted line breaks and spacing throughout the document to conform to final enrolled bill formatting standards.
Floor votes · House Apr 28, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
50
Key actions
17
Committee
12
Jun 20, 2025
Signed into law
Signed by the Governor
executive
May 27, 2025
Upper · Passed
Signed in the Senate
upper
May 27, 2025
Lower · Passed
Signed in the House
lower
May 25, 2025
Lower · Passed
Senate passage reported
lower
May 25, 2025
Upper · Passed
Passed
upper
May 9, 2025
Upper · Passed
Committee report printed and distributed
upper
May 9, 2025
Upper · Passed
Reported favorably w/o amendments
upper
May 8, 2025
Upper · Passed
Vote taken in committee
upper
May 7, 2025
Upper · Passed
Left pending in committee
upper
May 7, 2025
Upper · Passed
Testimony taken in committee
upper
Apr 30, 2025
Committee
Referred to Health & Human Services
upper
Apr 30, 2025
Introduced
Read first time
upper
Apr 29, 2025
Introduced
Received from the House
upper
Apr 29, 2025
Lower · Passed
Passed
lower
Apr 28, 2025
Lower · Passed
Passed to engrossment
lower
Apr 2, 2025
Lower · Passed
Committee report sent to Calendars
lower
Apr 2, 2025
Lower · Passed
Committee report distributed
lower
Mar 26, 2025
Lower · Passed
Reported favorably w/o amendment(s)
lower
Mar 19, 2025
Lower · Passed
Left pending in committee
lower
Mar 19, 2025
Lower · Passed
Testimony taken/registration(s) recorded in committee
lower
Feb 28, 2025
Committee
Referred to Insurance
lower
Feb 28, 2025
Introduced
Read first time
lower
2 primary · 1 co-sponsor
Sponsors
Role
Legislator
Party
State
District
P
Bryan Hughes
RRepublican
P
Caroline Harris Davila
RRepublican
Co
CB
César Blanco
DDemocratic
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