Proposes the creation of the Small Business Health Option Program, a state-backed health insurance cooperative designed to provide affordable coverage to small businesses, independent contractors, and startup enterprises. Designates the Texas Department of Insurance as a centralized purchasing entity; leverages the state's collective bargaining power to aggregate enrollment and negotiate competitive group premium rates directly with health benefit plan issuers.

Expands who can access group health rates. Under this framework, small employers (defined as entities with 2 to 50 employees), independent contractors, freelancers, and sole proprietors are all legally eligible to buy into the state-negotiated plans. Mandates that the entire program remain completely self-sustaining. It functions strictly through participating premium payments and basic administrative fees negotiated with insurance providers, explicitly prohibiting any use of state general revenue funds or state liability for claims.

Directs the insurance commissioner to build a highly streamlined verification and enrollment system, designed specifically to reduce administrative overhead and paperwork delays for fast-moving, early-stage enterprises