SB 622 Texas Senate · 89th Legislature (2025)

Relating to the definition of emergency care for purposes of certain health benefit plans.

SB 622 amends Texas Insurance Code sections to create a uniform definition of "emergency care" for health insurance plans. It defines emergency care as services provided in hospital emergency facilities, freestanding emergency centers, or comparable settings to evaluate and stabilize conditions that would lead a reasonable person with average medical knowledge to believe immediate care is needed to prevent serious health risks like life-threatening conditions, organ failure, disfigurement, or fetal endangerment. This definition applies to all health benefit plans and ensures insurers cover such services without requiring prior authorization. The bill standardizes this definition across multiple sections of insurance law to clarify coverage requirements for urgent medical situations.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2024
Committee Review
Floor Vote
Governor
Introduced Dec 16, 2024 Last action Feb 3, 2025
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Total actions
4
Key actions
0
Committee
1
Feb 3, 2025
Committee
Referred to Health & Human Services
upper
Feb 3, 2025
Introduced
Read first time
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Charles Schwertner
Charles Schwertner
RRepublican
TX
5