Tex. Ins. Code § 1217.001 · Chapter 1217. STANDARD REQUEST FORM FOR PRIOR AUTHORIZATION OF HEALTH CARE SERVICES
DEFINITIONS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
In this chapter:
(1) "Health benefit plan issuer" means an entity authorized under this code or another insurance law of this state that delivers or issues for delivery a health benefit plan or other coverage that is covered under this chapter as described by Section 1217.002. The term includes:
(A) an insurance company;
(B) a group hospital service corporation operating under Chapter 842;
(C) a fraternal benefit society operating under Chapter 885;
(D) a stipulated premium company operating under Chapter 884;
(E) a reciprocal exchange operating under Chapter 942;
(F) a health maintenance organization operating under Chapter 843;
(G) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846; or
(H) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844.
(2) "Health care services" includes medical or health care treatments, consultations, procedures, drugs, supplies, imaging and diagnostic services, inpatient and outpatient care, medical devices, and durable medical equipment. The term does not include prescription drugs as defined by Section 551.003, Occupations Code.
Notes and commentary — not statutory text
History
Added by Acts 2013, 83rd Leg., R.S., Ch. 1198 (S.B. 1216), Sec. 1, eff. September 1, 2013.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1217.htm
- Text hash
- sha256 e3970b03e6983f0ff2f02de8bece65d90c06560fd209e15c5f4c833183e2eb06
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Insurance Code
- Tex. Ins. Code ch. 842GROUP HOSPITAL SERVICE CORPORATIONSPrinted as Chapter 842
- Tex. Ins. Code ch. 843HEALTH MAINTENANCE ORGANIZATIONSPrinted as Chapter 843
- Tex. Ins. Code ch. 846MULTIPLE EMPLOYER WELFARE ARRANGEMENTSPrinted as Chapter 846
- Tex. Ins. Code ch. 884STIPULATED PREMIUM INSURANCE COMPANIESPrinted as Chapter 884
- Tex. Ins. Code ch. 885FRATERNAL BENEFIT SOCIETIESPrinted as Chapter 885
- Tex. Ins. Code ch. 942RECIPROCAL AND INTERINSURANCE EXCHANGESPrinted as Chapter 942
- Tex. Ins. Code § 1217.002APPLICABILITY OF CHAPTER.Printed as Section 1217.002
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.