Relating to the eligibility of certain individuals younger than 65 years of age to purchase Medicare supplement benefit plans.

This bill requires Texas insurers to offer the same Medicare supplement benefit plans (Medigap) to people under 65 who qualify for Medicare due to disability or end-stage renal disease as they do to those 65 or older. It mandates equal premium rates, prohibits medical underwriting or health-based price discrimination, and creates special enrollment periods (including a 60-day annual window tied to birthdays). The law applies to plans delivered, issued, or renewed on or after September 1, 2025. It directly affects disabled or ESRD patients under 65 enrolled in Medicare Part B who previously faced limited access to supplemental coverage.