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Title 8

Health Insurance and Other Health Coverages

Subtitle A. Health Coverage in General

Ch. 1201 Accident and Health Insurance73 sections Ch. 1202 Cancellation and Continuation of Policies in General3 sections Ch. 1203 Coordination of Benefits Provisions17 sections Ch. 1204 Procedures for Payment of Certain Health and Accident Insurance Policy or Plan Benefits17 sections Ch. 1205 Certification of Creditable Coverage4 sections Ch. 1206 Denial of Health Benefit Plan Enrollment Based on Existing Coverage Prohibited4 sections Ch. 1207 Enrollment of Medical Assistance Recipients and Children Eligible for State Child Health Plan4 sections Ch. 1208 Identity of Available Employee of Health Benefit Plan Issuer2 sections Ch. 1210 Notice of Certain Policy Provisions1 section Ch. 1211 Waivers Regarding Certain Federal Health Plans1 section Ch. 1213 Electronic Health Care Transactions6 sections Ch. 1214 Advertising for Certain Health Benefits3 sections Ch. 1215 Reporting of Claims Information6 sections Ch. 1216 Out-of-Country Coverage Prohibited4 sections Ch. 1217 Standard Request Form for Prior Authorization of Health Care Services7 sections Ch. 1218 Coverage for Elective Abortion; Prohibitions and Requirements6 sections Ch. 1221 Employer Contributions to Individual Health Insurance Policies1 section Ch. 1222 Preauthorization for Medical or Health Care Service4 sections Ch. 1223 Verification of Health Benefits2 sections

Subtitle B. Group Health Coverage

Ch. 1251 Group and Blanket Health Insurance69 sections Ch. 1252 Discontinuation and Replacement of Group and Group-Type Health Benefit Plan Coverage14 sections Ch. 1253 Cancellation of Group Coverage in Certain Circumstances11 sections Ch. 1254 Notice of Rate Increase for Group Health and Accident Coverage1 section Ch. 1255 Group Family Leave Insurance13 sections

Subtitle C. Managed Care

Ch. 1271 Benefits Provided by Health Maintenance Organizations; Evidence of Coverage; Charges40 sections Ch. 1272 Delegation of Certain Functions by Health Maintenance Organization43 sections Ch. 1273 Point-of-Service Plans12 sections Ch. 1274 Electronic Transmission of Eligibility and Payment Status6 sections Ch. 1275 Balance Billing Prohibitions and Out-of-Network Claim Dispute Resolution for Certain Plans8 sections

Subtitle D. Provider Plans

Ch. 1301 Preferred Provider Benefit Plans101 sections Ch. 1305 Workers' Compensation Health Care Networks49 sections

Subtitle E. Benefits Payable under Health Coverages

Ch. 1351 Home Health Services9 sections Ch. 1352 Brain Injury9 sections Ch. 1353 Immunization or Vaccination Protocols under Managed Care Plans2 sections Ch. 1354 Eligibility for Benefits for Alzheimer's Disease2 sections Ch. 1355 Benefits for Certain Mental Disorders35 sections Ch. 1356 Mammography and Other Breast Imaging5 sections Ch. 1357 Mastectomy14 sections Ch. 1358 Diabetes16 sections Ch. 1359 Formulas for Individuals with Phenylketonuria or Other Heritable Diseases3 sections Ch. 1360 Diagnosis and Treatment Affecting Temporomandibular Joint5 sections Ch. 1361 Detection and Prevention of Osteoporosis3 sections Ch. 1362 Certain Tests for Detection of Prostate Cancer5 sections Ch. 1363 Certain Tests for Detection of Colorectal Cancer5 sections Ch. 1364 Coverage Provisions Relating to Hiv, Aids, or Hiv-Related Illnesses8 sections Ch. 1365 Loss or Impairment of Speech or Hearing7 sections Ch. 1366 Benefits Related to Fertility and Childbirth20 sections Ch. 1367 Coverage of Children30 sections Ch. 1368 Availability of Chemical Dependency Coverage8 sections Ch. 1369 Benefits Related to Prescription Drugs and Devices and Related Services134 sections Ch. 1370 Certain Tests for Detection of Human Papillomavirus, Ovarian Cancer, and Cervical Cancer4 sections Ch. 1371 Coverage for Certain Prosthetic Devices, Orthotic Devices, and Related Services5 sections Ch. 1372 Coverage for Biomarker Testing3 sections Ch. 1373 Required Coverage of Gender Transition Adverse Effects and Reversals3 sections Ch. 1376 Certain Tests for Early Detection of Cardiovascular Disease3 sections Ch. 1377 Coverage for Certain Amino Acid-Based Elemental Formulas5 sections Ch. 1379 Coverage for Routine Patient Care Costs for Enrollees Participating in Certain Clinical Trials11 sections Ch. 1380 Human Organ Transplant3 sections Ch. 1425 Application of Subtitle to Certain Coverage4 sections

Subtitle F. Physicians and Health Care Providers

Ch. 1451 Access to Certain Practitioners and Facilities77 sections Ch. 1452 Physician and Provider Credentials32 sections Ch. 1453 Disclosure of Reimbursement Guidelines under Managed Care Plan3 sections Ch. 1454 Equal Health Care for Women13 sections Ch. 1455 Telemedicine, Teledentistry, and Telehealth6 sections Ch. 1456 Disclosure of Provider Status7 sections Ch. 1457 Provisional Credentialing Status2 sections Ch. 1458 Provider Network Contract Arrangements12 sections Ch. 1460 Standards Required Regarding Certain Physician Rankings by Health Benefit Plans7 sections Ch. 1461 Discrimination Against Physician Based on Maintenance of Certification3 sections Ch. 1467 Out-of-Network Claim Dispute Resolution28 sections

Subtitle G. Health Coverage Availability

Ch. 1501 Health Insurance Portability and Availability Act129 sections Ch. 1502 Health Benefit Plans for Children6 sections Ch. 1503 Coverage of Certain Students3 sections Ch. 1504 Medical and Dental Child Support10 sections Ch. 1505 Group Health Insurance Plans for Persons 65 Years of Age or Older9 sections Ch. 1507 Consumer Choice of Benefits Plans18 sections Ch. 1508 Healthy Texas Program30 sections Ch. 1509 Short-Term Limited-Duration Insurance2 sections

Subtitle H. Health Benefits and Other Coverages for Governmental Employees

Ch. 1550 Certain Requirements for Insurers Contracting with Governmental Entities4 sections Ch. 1551 Texas Employees Group Benefits Act156 sections Ch. 1552 Long-Term Care Insurance for State Employees5 sections Ch. 1560 Delivery of Prescription Drugs by Mail4 sections Ch. 1575 Texas Public School Employees Group Benefits Program105 sections Ch. 1576 Group Long-Term Care Insurance for Public School Employees13 sections Ch. 1578 Purchase of Insurance by Association of Teachers and School Administrators6 sections Ch. 1579 Texas School Employees Uniform Group Health Coverage49 sections Ch. 1581 Employer Expenditures for School Employee Health Coverage Plans5 sections Ch. 1601 Uniform Insurance Benefits Act for Employees of the University of Texas System and the Texas A&m University System68 sections Ch. 1625 Transfer Between Certain Governmental Programs5 sections

Subtitle I. Specialized Coverages

Ch. 1651 Long-Term Care Benefit Plans19 sections Ch. 1652 Medicare Supplement Benefit Plans31 sections Ch. 1653 High Deductible Health Plan3 sections

Subtitle J. Health Information Technology and Availability

Ch. 1660 Electronic Data Exchange8 sections Ch. 1661 Information Technology9 sections Ch. 1662 Health Care Cost Transparency22 sections

Subtitle K. Certain Benefits and Arrangements That Are Not Insurance

Ch. 1681 Health Care Sharing Ministries3 sections Ch. 1682 Health Benefits Provided by Certain Nonprofit Agricultural Organizations6 sections Ch. 1683 Health Benefits Provided by Certain Postsecondary Educational Institutions7 sections

Subtitle L. Qualified Health Plan Mandatory Disclosures

Ch. 1693 Qualified Health Plan Identification Cards5 sections

Subtitle M. Federal Patient Protection and Affordable Care Act

Ch. 1695 Legislative Considerations1 section Ch. 1696 Coverage for Elective Abortion; Prohibitions and Requirements2 sections

Subtitle N. Rates

Ch. 1698 Rates for Certain Coverage7 sections