Texas Insurance Code Title 8, Chapter 1358 - Diabetes

SUBCHAPTER A GUIDELINES FOR DIABETES CARE; MINIMUM COVERAGE REQUIRED

• Texas Section 1358.001 - Definition
  In this subchapter, "enrollee" means an individual entitled to coverage under a health benefit plan. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3,...
• Texas Section 1358.002 - Applicability Of Subchapter
  This subchapter applies only to a health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition,...
• Texas Section 1358.003 - Exception
  This subchapter does not apply to: (1) a plan that provides coverage: (A) only for a specified disease; (B) only for accidental death or dismemberment;...
• Texas Section 1358.004 - Adoption Of Minimum Standards
  The commissioner, in consultation with the Texas Diabetes Council, by rule shall adopt minimum standards for coverage provided to an enrollee with diabetes. Added by...

SUBCHAPTER B SUPPLIES AND SERVICES ASSOCIATED WITH DIABETES TREATMENT

• Texas Section 1358.005 - Coverage Required
  (a) A health benefit plan must provide coverage in accordance with the standards adopted under Section 1358.004. (b) Coverage required under this section may not...
• Texas Section 1358.051 - Definitions
  In this subchapter: (1) "Diabetes equipment" means: (A) blood glucose monitors, including noninvasive glucose monitors and glucose monitors designed to be used by blind individuals;...
• Texas Section 1358.052 - Applicability Of Subchapter
  This subchapter applies only to a health benefit plan that: (1) provides benefits for medical or surgical expenses incurred as a result of a health...
• Texas Section 1358.053 - Exception
  This subchapter does not apply to: (1) a plan that provides coverage: (A) only for a specified disease or another limited benefit; (B) only for...
• Texas Section 1358.054 - Coverage Required
  (a) A health benefit plan that provides coverage for the treatment of diabetes and conditions associated with diabetes must provide to each qualified enrollee coverage...
• Texas Section 1358.055 - Diabetes Self-management Training
  (a) Diabetes self-management training must be provided by a health care practitioner or provider who is: (1) licensed, registered, or certified in this state to...
• Texas Section 1358.056 - Coverage For New Or Improved Equipment And Supplies
  A health benefit plan must provide coverage for new or improved diabetes equipment or supplies, including improved insulin or another prescription drug, approved by the...
• Texas Section 1358.057 - Rules
  (a) The commissioner shall adopt rules necessary to implement this subchapter. (b) In adopting rules under this section, the commissioner may consult with the commissioner...

Last modified: September 28, 2016