- (a) The department shall consult with the Health and Human Services Commission to develop a biennial reference guide designed to educate the public about health coverage in this state.
(b) The reference guide must include the following information:
- (1) the biennial period covered by the current edition;
- (2) definitions of the term "health insurance" and terms used to describe other forms of health coverage;
- (3) sources from which consumers may obtain health coverage, including through employers, and an explanation of how coverage may be obtained from each of those sources;
- (4) a guide to consumer rights and resources related to health coverage;
(5) a health coverage shopping guide that includes:
- (A) an explanation of discount cards and other noninsurance health coverage products and a comparison of those products to health insurance;
- (B) an explanation and comparison of common types of short-term or disease-specific health coverage;
- (C) an explanation and comparison of preferred provider benefit plans, exclusive provider benefit plans, health maintenance organizations, and point-of-service plans;
- (D) an explanation of provider networks and the differences between in-network providers and out-of-network providers;
- (E) an explanation of the Affordable Care Act marketplace plan categories of bronze, silver, gold, and platinum;
- (F) an explanation of the out-of-pocket costs of health coverage, including premiums, deductibles, copayments, and coinsurance; and
- (G) information on how to recognize health coverage scams;
- (6) an explanation of the effect of the Consolidated Omnibus Budget Reconciliation Act of 1985 (Pub. L. No. 99-272) on consumers' health coverage;
- (7) a basic overview of federal, state, and local programs that may assist consumers to obtain health care services;
- (8) methods for a consumer to resolve disputes with a health coverage issuer or administrator;
- (9) methods to seek assistance from the department for a complaint regarding a health coverage plan or product; and
- (10) the areas of health coverage regulated by the department and those regulated by federal law, including the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.).
- (c) The department shall publish the reference guide developed under this section on the department's Internet website and in a printed form available to the public on request.
Added by Acts 2025, 89th Leg., R.S., Ch. 696 (S.B. 1307), Sec. 1, eff. September 1, 2025.