Texas plans new health insurance exchange with fee

Relating to creation of the Texas Health Insurance Exchange; authorizing a fee.

Introduced· 2025-03-14

Who's it for

Who's it for: Everyday People

What it means for you

6/10Mixed

Mixed: some good, some bad ·

Draft summary, still being checked against the official bill text. Read the source to confirm.

If passed, Texas would set up a state-run health insurance marketplace that lets people buy qualified plans, and it would charge a fee to fund it.

Our take

What we think, in plain words.

The bill could give Texans more choices for health coverage and help small employers enroll workers. It also adds a fee and lets the exchange avoid state taxes, which may shift costs to taxpayers. Voters should watch how the fee will be set and who will pay for the exchange.

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The facts

What the bill actually says, no spin.

Creates the Texas Health Insurance Exchange as a state-run marketplace.
Defines a "small employer" as one with 2 to 50 employees.
Sets up an 11‑member board appointed by the governor and the House speaker.
Requires a third‑party audit of the exchange system before the first enrollment period.
Exempts the exchange from state taxes, regulatory fees, and procurement rules.
Authorizes a fee to fund the exchange, but the amount is not specified.