Texas Insurance Code Title 8, Chapter 1379 - Coverage For Routine Patient Care Costs For Enrollees Participating In Certain Clinical Trials

SUBCHAPTER A GENERAL PROVISIONS

• Texas Section 1379.001 - Definitions
  In this chapter: (1) "Enrollee" means an individual entitled to coverage under a health benefit plan. (2) "Life-threatening disease or condition" means a disease or...
• Texas Section 1379.002 - Applicability Of Chapter
  (a) This chapter applies only to a health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health...
• Texas Section 1379.003 - Applicability To Certain Government Programs
  To the extent allowed by federal law, the state Medicaid program, and a managed care organization that contracts with the Health and Human Services Commission...
• Texas Section 1379.004 - Exception
  This chapter does not apply to: (1) a plan that provides coverage: (A) for wages or payments in lieu of wages for a period during...

SUBCHAPTER B COVERAGE FOR ROUTINE PATIENT CARE COSTS

• Texas Section 1379.005 - Rules
  The commissioner, in accordance with Subchapter A, Chapter 36, may adopt rules to implement this chapter. Added by Acts 2009, 81st Leg., R.S., Ch. 719...
• Texas Section 1379.051 - Routine Patient Care Costs
  For purposes of this chapter, routine patient care costs means the costs of any medically necessary health care service for which benefits are provided under...
• Texas Section 1379.052 - Coverage Required
  A health benefit plan issuer shall provide benefits for routine patient care costs to an enrollee in connection with a phase I, phase II, phase...
• Texas Section 1379.053 - Research Institution
  (a) A health benefit plan issuer is not required to reimburse the research institution conducting the clinical trial for the cost of routine patient care...
• Texas Section 1379.054 - Limitations On Coverage
  (a) Notwithstanding Section 1379.053, this chapter does not require a health benefit plan issuer to provide benefits for routine patient care services provided outside of...
• Texas Section 1379.055 - Deductible, Coinsurance, And Copayment Requirements
  The benefits required under this chapter may be made subject to a deductible, coinsurance, or copayment requirement comparable to other deductible, coinsurance, or copayment requirements...

Last modified: September 28, 2016