Health and Human Services

This bill allows Texas pharmacists to dispense ivermectin without a doctor's prescription. It requires the state health commissioner to issue a statewide order with standardized protocols, patient instructions, and annual reporting on dispensing volumes. Pharmacists acting in good faith under this order are protected from legal liability. The law directly affects licensed pharmacists and patients seeking ivermectin through pharmacy channels.

HB 1052 requires Texas health insurance plans to cover telemedicine, teledentistry, and telehealth services provided by out-of-state providers on the same terms as in-state services. It applies to Texas residents who primarily live in the state and receive care from providers licensed in Texas with a physical office in Texas. The law ensures equal coverage for out-of-state telehealth visits without additional cost-sharing, but only if the provider meets Texas licensing and office requirements. This bill became effective September 1, 2025, and applies to health plans delivered, issued, or renewed on or after January 1, 2026.

HB 1586 creates a standardized affidavit form for parents or guardians seeking immunization exemptions for school enrollment. The form must include a statement explaining the benefits and risks of both immunizations and not being immunized. The health department must provide this form online or by mail without collecting personal information, and can only track how many times the form is accessed (not who uses it). This change applies starting the 2025-2026 school year.

HB 2187 requires Texas hospitals to establish nurse staffing committees and submit accurate staffing reports, which must be verified by the chief nursing officer. The bill prohibits hospitals from retaliating against nurses who report staffing violations or file complaints, and creates a formal process for resolving complaints through the Health and Human Services Commission. Hospitals must provide timely written responses to complaints, including details about investigations and resolutions, while keeping all complaint-related information confidential. This law directly affects nurses, hospital management, and the Health and Human Services Commission, with all provisions taking effect on September 1, 2025.

HB 26 allows Medicaid managed care organizations (MCOs) in Texas to offer nutrition counseling and instruction services instead of certain mental health or substance use disorder services covered under the state Medicaid plan. The bill requires contracts between the state and MCOs to include this option, with the state Medicaid advisory committee approving which nutrition services may be substituted (excluding home-delivered meals, food prescriptions, or grocery support). MCOs must provide these nutrition services as an alternative, and the state must annually report on their usage and consider their costs when setting MCO payment rates. This policy directly affects Texas Medicaid beneficiaries who may receive nutrition services in place of other covered services and the MCOs managing their care.