Texas Insurance Code Title 8, Chapter 1366 - Benefits Related To Fertility And Childbirth

SUBCHAPTER A COVERAGE FOR IN VITRO FERTILIZATION PROCEDURES

• Texas Section 1366.001 - Applicability Of Subchapter
  This subchapter applies only to a group health benefit plan that provides benefits for hospital, medical, or surgical expenses incurred as a result of accident...
• Texas Section 1366.002 - Exception
  This subchapter does not apply to: (1) a credit accident and health insurance policy subject to Chapter 1153; (2) any group specifically provided for or...
• Texas Section 1366.003 - Offer Of Coverage Required
  (a) Subject to this subchapter, an issuer of a group health benefit plan that provides pregnancy-related benefits for individuals covered under the plan shall offer...
• Texas Section 1366.004 - Rejection Of Offer
  A rejection of an offer under Section 1366.003 to provide coverage for in vitro fertilization procedures must be in writing. Added by Acts 2003, 78th...
• Texas Section 1366.005 - Conditions Applicable To Coverage
  The coverage offered under Section 1366.003 is required only if: (1) the patient for the in vitro fertilization procedure is an individual covered under the...
• Texas Section 1366.006 - Certain Issuers Of Health Benefit Plans Not Required To Offer Coverage
  An insurer, health maintenance organization, or self-insuring employer that is owned by or that is part of an entity, group, or order that is directly...

SUBCHAPTER B MINIMUM INPATIENT STAY FOLLOWING BIRTH OF CHILD AND POSTDELIVERY CARE

• Texas Section 1366.007 - Rules
  The commissioner may adopt rules necessary to administer this subchapter. A rule adopted under this section is subject to notice and hearing as provided by...
• Texas Section 1366.051 - Short Title
  This subchapter may be cited as the Lee Alexandria Hanley Act. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
• Texas Section 1366.052 - Definitions
  In this subchapter: (1) "Attending physician" means an obstetrician, pediatrician, or other physician who attends a woman who has given birth to a child or...
• Texas Section 1366.053 - 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 1366.054 - Exception
  This subchapter does not apply to: (1) a plan that provides coverage: (A) only for a specified disease or for another limited benefit; (B) only...
• Texas Section 1366.055 - Coverage For Inpatient Care Required
  (a) Except as provided by Subsection (b), a health benefit plan that provides maternity benefits, including benefits for childbirth, must provide to a woman who...
• Texas Section 1366.056 - Coverage For Postdelivery Care Required
  (a) If a decision is made to discharge a woman who has given birth to a child or the newborn child from inpatient care before...
• Texas Section 1366.057 - Prohibited Conduct
  An issuer of a health benefit plan may not: (1) modify the terms and conditions of coverage based on a request by an enrollee for...
• Texas Section 1366.058 - Notice Of Coverage
  (a) An issuer of a health benefit plan shall provide to each individual enrolled in the plan written notice of the coverage required under this...
• Texas Section 1366.059 - Rules
  The commissioner shall adopt rules necessary to administer this subchapter. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.

Last modified: September 28, 2016