HB5393 - 104th General Assembly (2025-2026)

LIMITED HEALTH SERVICE ORGS
Last Action

3/25/2026 - House: Placed on Calendar 2nd Reading - Short Debate
Statutes Amended In Order of Appearance

Synopsis As Introduced

Amends the Limited Health Service Organization Act. Makes changes to defined terms. In provisions concerning the offering of a point-of-sale contract by a limited health service organization (LHSO), removes a provision requiring the LHSO to include an annual maximum benefit allowance not to exceed $2,500 per year that is separate from any limits or allowances applied to in-plan services. Provides that, if an LHSO expends in any calendar quarter more than 20% of its total limited health services expenditures for all its members for out-of-plan covered services, then specified limitations shall not apply subject to the LHSO minimum capital and surplus requirements applicable to a life, accident, and health insurance company. Makes other changes.
Actions

DateChamberAction
2/06/2026HouseFiled with the Clerk by Rep. Ann M. Williams
2/10/2026HouseFirst Reading
2/10/2026HouseReferred to Rules Committee
3/18/2026HouseAssigned to Insurance Committee
3/24/2026HouseAdded Chief Co-Sponsor Rep. Daniel Didech
3/24/2026HouseDo Pass / Short Debate Insurance Committee; 015-000-000
3/25/2026HousePlaced on Calendar 2nd Reading - Short Debate