Filed without the Governor's Signature Authored by Ryan Guillen (R) View at Source
Caption: Relating to the eligibility of certain individuals younger than 65 years of age to purchase Medicare supplement benefit plans. Initially Referred to House Insurance Committee, chaired by a Republican Last Referred to Senate Health & Human Services Committee, chaired by a Republican
HB 2516 expands eligibility for Medicare supplement insurance plans to individuals under 65 years old who qualify for Medicare due to disability or end-stage renal disease (ESRD). The bill mandates that insurers offering Medicare supplement plans to those 65 and older must provide the same coverage at the same premium rate to younger individuals who qualify for Medicare. It also establishes open and special enrollment periods, including a six-month period upon first enrollment in Medicare Part B, a 60-day annual enrollment period beginning on the individual's birth date, and special enrollment periods as determined by the Texas Insurance Commissioner. Insurers cannot deny coverage, impose exclusions for preexisting conditions, or engage in medical underwriting during these enrollment periods. The law takes effect September 1, 2025, and applies to policies issued or renewed on or after that date.
Joint authors: Buckley (R); Dean (R); Johnson (D); Wharton (R) Co-authors: Campos (D); Garcia, J. (D); Gonzalez, J. (D); Jones, V. (D); Lalani (D); Lopez, R. (D); Martinez Fischer (D); Morales, E. (D); Raymond (D) Sponsors: Schwertner (R) Co-sponsors: Blanco (D); Cook (D); J. Hinojosa (D); Zaffirini (D)
Feb 5, 2025
(H) Guillen signed onto the bill as Author (H) Filed
Mar 17, 2025
(H) Read first time (H) Referred to the House Insurance, chaired by a Republican
Apr 2, 2025
(H) Jones, V. signed onto the bill as Coauthor (H) Buckley signed onto the bill as Joint Author
Apr 7, 2025
(H) Lopez, R. signed onto the bill as Coauthor
Apr 10, 2025
(H) Johnson signed onto the bill as Joint Author
Apr 17, 2025
(H) Scheduled for public hearing on . . . (H) Considered in public hearing (H) Testimony taken/registration(s) recorded in committee (H) Left pending in committee
Apr 22, 2025
(H) Raymond signed onto the bill as Coauthor (H) Morales, E. signed onto the bill as Coauthor (H) Wharton signed onto the bill as Joint Author
Apr 25, 2025
(H) Dean signed onto the bill as Joint Author
Apr 28, 2025
(H) Gonzalez, J. signed onto the bill as Coauthor (H) Considered in formal meeting (H) Committee substitute considered in committee (H) Reported favorably as substituted
Apr 29, 2025
(H) Comte report filed with Committee Coordinator (H) Committee report distributed (H) Committee report sent to Calendars
Apr 30, 2025
(H) Considered in Calendars
May 2, 2025
(H) Placed on General State Calendar
May 5, 2025
(H) Lalani signed onto the bill as Coauthor (H) Read 2nd time (H) A Republican amendment (No. 1) from Dean amended the bill. (H) Passed to engrossment as amended
May 6, 2025
(H) Martinez Fischer signed onto the bill as Coauthor (H) Read 3rd time (H) Passed (H) Record vote
RV#1437: Yea 130 (R 68, D 62) - Nay 19 (R 19, D 0) View Source
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(S) Amended (S) Vote recorded in Journal (S) Passed to 3rd reading as amended (S) Vote recorded in Journal (S) Three day rule suspended (S) Record vote (S) Read 3rd time (S) Passed
20250526_HB2516_3R: Yea 31 (R 20, D 11) - Nay 0 (R 0, D 0)
(H) House refuses to concur in Senate amendments (H) House requests conference committee (H) House appoints conferees (S) House refuses to concur-reported (S) House requests conference committee-reported (S) House appoints conferees-reported
May 29, 2025
(S) Senate grants request for conference comm. (S) Senate appoints conferees (H) Senate grants request for conf comm-reported (H) Senate appoints conferees-reported
May 31, 2025
(S) Conference committee report filed (H) Conf. Comm. Report distributed
Jun 1, 2025
(H) House adopts conference committee report (H) Record vote
RV#4147: Yea 132 (R 80, D 52) - Nay 5 (R 4, D 1) View Source
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(H) Senate adopts conf. comm. report-reported (S) House adopts conf. comm. report-reported
Jun 2, 2025
(H) Reported enrolled (H) Signed in the House (S) Signed in the Senate (E) Sent to the Governor
(H) Schwertner signed onto the bill as Sponsor (H) Zaffirini signed onto the bill as Cosponsor (H) J. Hinojosa signed onto the bill as Cosponsor (H) Cook signed onto the bill as Cosponsor (H) Blanco signed onto the bill as Cosponsor
(Wed 5/14/2025) Testifying before S Health & Human Services as Chris Larkin for self (with ALS Association) (Thu 4/17/2025) Testifying before H Insurance as Chris Larkin for self (with The ALS Association) (Thu 4/17/2025) Testifying before H Insurance as Christopher Spaulding for self (with The ALS Association) (Wed 5/14/2025) Testifying before S Health & Human Services as Cissy Larkin for self (Thu 4/17/2025) Testifying before H Insurance as Diana Arevalo for The ALS Association (Wed 5/14/2025) Testifying before S Health & Human Services as Diana Arevalo for The ALS Association (Thu 4/17/2025) Testifying before H Insurance as Jeremy Van Haselen for DaVita (Thu 4/17/2025) Testifying before H Insurance as Josie Gamez for American Kidney Fund (Thu 4/17/2025) Testifying before H Insurance as Marc Young for self (Wed 5/14/2025) Testifying before S Health & Human Services as Marc Young for self (Thu 4/17/2025) Testifying before H Insurance as Veronica Behrend for self (with American Kidney Fund) (Thu 4/17/2025) Testifying before H Insurance as Yessar Hussain for self (with Texas Neurological Society) (Thu 4/17/2025) Registering before H Insurance as Aaron Gregg for Fresenius Medical Care (Thu 4/17/2025) Registering before H Insurance as Alex Gamez for self (Thu 4/17/2025) Registering before H Insurance as Antoinette Verdone for The ALS Association (Thu 4/17/2025) Registering before H Insurance as Ben Wright for Texas Medical Association (Thu 4/17/2025) Registering before H Insurance as Carolyn Drummond for self (with ALS Asoociation) (Thu 4/17/2025) Registering before H Insurance as Chase Bearden for self (with Coalition of Texans with Disabilities) (Wed 5/14/2025) Registering before S Health & Human Services as Chase Bearden for self (with Coalition of Texans with Disabilities) (Thu 4/17/2025) Registering before H Insurance as Christine Yanas for Methodist Healthcare Ministries (Wed 5/14/2025) Registering before S Health & Human Services as Christine Yanas for Methodist Healthcare Ministries (Thu 4/17/2025) Registering before H Insurance as Cissy Larkin for self (with ALS Association) (Wed 5/14/2025) Registering before S Health & Human Services as Cole Glosser for Coalition of Texans with Disabilities (Thu 4/17/2025) Registering before H Insurance as Danielle Lobsinger Bush for Texas Healthcare and Bioscience Institute (Thu 4/17/2025) Registering before H Insurance as Eric Woomer for Otsuka (Thu 4/17/2025) Registering before H Insurance as Erin Cusack for Texas Nurse Practitioners (Thu 4/17/2025) Registering before H Insurance as Fritz Weiss for The ALS Association (Thu 4/17/2025) Registering before H Insurance as Gail Price for self (Thu 4/17/2025) Registering before H Insurance as Gary Ingram for self (Thu 4/17/2025) Registering before H Insurance as Holly Crowder for The ALS Association (Wed 5/14/2025) Registering before S Health & Human Services as Jeff Miller for Disability Rights Texas (Wed 5/14/2025) Registering before S Health & Human Services as Jeremy Van Haselen for DaVita (Thu 4/17/2025) Registering before H Insurance as John Drummond for self (Wed 5/14/2025) Registering before S Health & Human Services as Josie Gamez for self (with American Kidney Fund) (Thu 4/17/2025) Registering before H Insurance as Ky Ash for U.S. Renal Care (Wed 5/14/2025) Registering before S Health & Human Services as Ky Ash for U.S. Renal Care (Thu 4/17/2025) Registering before H Insurance as Lauren Fleming for Texas coalition for patients (Thu 4/17/2025) Registering before H Insurance as Mackenzie Lyra for Texas Health Resources (THR) (Thu 4/17/2025) Registering before H Insurance as Marc Hoskins for Disability Rights Texas (Thu 4/17/2025) Registering before H Insurance as Mike McBrierty for Biogen (Thu 4/17/2025) Registering before H Insurance as Nzingha Williams-Eugene for Teaching Hospitals of Texas (Thu 4/17/2025) Registering before H Insurance as Pamela Zielske for Dialysis Patient Citizens (Thu 4/17/2025) Registering before H Insurance as Phil Russell for The ALS Association (Thu 4/17/2025) Registering before H Insurance as Rebecca Young for self (Wed 5/14/2025) Registering before S Health & Human Services as Roxanne Jones for United Way (Thu 4/17/2025) Registering before H Insurance as Sara Gonzalez for Texas hospital association (Wed 5/14/2025) Registering before S Health & Human Services as Steven Deline for self (Thu 4/17/2025) Registering before H Insurance as Tom Holloway for Texas Neurological Society (Wed 5/14/2025) Registering before S Health & Human Services as Tom Holloway for Texas Neurological Society
On
(Wed 5/14/2025) Registering before S Health & Human Services as Rachel Bowden for TDI (Thu 4/17/2025) Registering before H Insurance as Rachel Bowden for Texas Department of Insurance
