Tex. Ins. Code § 1357.005 · Subchapter A. RECONSTRUCTIVE SURGERY FOLLOWING MASTECTOMY
PROHIBITED CONDUCT.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) An issuer of a health benefit plan may not:
(1) offer a financial incentive for an enrollee to not receive breast reconstruction or to waive the coverage required under this subchapter;
(2) condition, limit, or deny the eligibility of a person to enroll in the plan or to renew coverage under the terms of the plan solely to avoid the requirements of this subchapter; or
(3) reduce or limit the reimbursement or amount paid to, or otherwise penalize, an attending physician or provider or provide a financial incentive or other benefit to an attending physician or provider to induce the physician or provider to provide care to an enrollee in a manner that is inconsistent with this subchapter.
(b) This section does not prevent an issuer of a health benefit plan from negotiating with a physician or provider the level and type of reimbursement that the physician or provider will receive for care provided in accordance with this subchapter.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1357.htm
- Text hash
- sha256 322e4eb5cf579b8492b283a2eb81682f2b3522a030a0d476fbe134ecedf8a2ba
- 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
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.