All Roll Calls
Yes: 276 • No: 24
TexasHB 251689th Legislature Regular SessionHouseWALLET
Relating to the eligibility of certain individuals younger than 65 years of age to purchase Medicare supplement benefit plans.
Sponsored By: Brad Buckley, Jay Dean, Ryan Guillen, Ann Johnson, Charles Schwertner (Republican), Trey Wharton
Became Law
Health--Other Diseases & Medical ConditionsInsurance--Health & AccidentInsurance--Insurers & AgentsMEDICAREINSURANCE, COMMISSIONER OF
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
More Medicare supplement access under 65
Texas insurers offering Medicare supplement coverage to people 65 or older must also offer it to qualifying people under 65. Those younger people must qualify for and have Medicare because of end stage renal disease or amyotrophic lateral sclerosis. The same benefits and protections apply, subject to exceptions under state insurance rules. Supplement Plans A, B, and D must cost the same as for a 65-year-old; other plans cannot exceed twice that rate. These changes apply to plans delivered, issued for delivery, or renewed on or after September 1, 2025.
Protected Medicare supplement enrollment under 65
Qualifying Texans under 65 with Medicare due to end stage renal disease or amyotrophic lateral sclerosis get protected enrollment. Their regular six-month window starts on the first day of their first month enrolled in Medicare Part B. During protected enrollment, insurers cannot deny or condition coverage, require medical review, charge health-based prices, impose waiting periods, or exclude preexisting conditions. People already enrolled in Part B for either condition and under 65 on the law’s effective date can also apply after December 1, 2025, and before June 1, 2026. Those who requested an application during that window but could not apply because it was unavailable get six months from its first availability. The insurance commissioner must adopt rules needed to administer enrollment periods; the changes cover plans delivered, issued for delivery, or renewed on or after September 1, 2025.
Sponsors & Cosponsors
Sponsors
Brad Buckley
House
Jay Dean
House
Ryan Guillen
House
Ann Johnson
House
Charles Schwertner
Republican • Senate
Trey Wharton
House
Cosponsors
César Blanco
Democratic • Senate
Elizabeth "Liz" Campos
House
Molly Cook
Democratic • Senate
Josey Garcia
House
Jessica González
House
Juan "Chuy" Hinojosa
Democratic • Senate
Venton Jones
House
Suleman Lalani
House
Ray Lopez
House
Trey Martinez Fischer
House
Eddie Morales
House
Richard Peña Raymond
House
Judith Zaffirini
Democratic • Senate
Roll Call Votes
House vote • 6/1/2025
Record vote
Yes: 132 • No: 5
Senate vote • 6/1/2025
Record vote
Yes: 0 • No: 0
Senate vote • 5/26/2025
Record vote
Yes: 0 • No: 0
Senate vote • 5/26/2025
Record vote
Yes: 0 • No: 0
House vote • 5/6/2025
Record vote
Yes: 130 • No: 19
House vote • Unknown
Committee vote: Insurance
Yes: 8 • No: 0
Senate vote • Unknown
Committee vote: Health & Human Services
Yes: 6 • No: 0
Actions Timeline
Effective immediately
6/20/2025HouseFiled without the Governor's signature
6/20/2025HouseSent to the Governor
6/2/2025HouseSigned in the Senate
6/2/2025SenateSigned in the House
6/2/2025HouseReported enrolled
6/2/2025HouseHouse adopts conf. comm. report-reported
6/1/2025SenateSenate adopts conf. comm. report-reported
6/1/2025HouseRecord vote
6/1/2025SenateSenate adopts conference committee report
6/1/2025SenateStatement(s) of vote recorded in Journal
6/1/2025HouseRecord vote (RV#4147)
6/1/2025HouseHouse adopts conference committee report
6/1/2025HouseConf. Comm. Report distributed
5/31/2025HouseConference committee report filed
5/31/2025SenateSenate appoints conferees-reported
5/29/2025HouseSenate grants request for conf comm-reported
5/29/2025HouseSenate appoints conferees
5/29/2025SenateSenate grants request for conference comm.
5/29/2025SenateHouse appoints conferees-reported
5/28/2025SenateHouse requests conference committee-reported
5/28/2025SenateHouse refuses to concur-reported
5/28/2025SenateHouse appoints conferees
5/28/2025HouseHouse requests conference committee
5/28/2025HouseHouse refuses to concur in Senate amendments
5/28/2025House
Bill Text
Engrossed
Enrolled
House Committee Report
Introduced
Senate Committee Report
Related Bills
HB 2518, Relating to the use of installment premium payment plans on Texas Windstorm Insurance Association policies.
HB 1052, Relating to health benefit plan coverage of telemedicine, teledentistry, and telehealth appointments with an originating site or distant site located outside this state.
HB 1056, Relating to the recognition of gold and silver specie as legal tender and the establishment of a transactional currency based on gold and silver; authorizing a fee.
HB 762, Relating to severance pay for political subdivision employees and independent contractors.
HB 500, Relating to making supplemental appropriations and reductions in appropriations and giving direction and adjustment authority regarding appropriations.
HB 149, Relating to regulation of the use of artificial intelligence systems in this state; providing civil penalties.