Tex. Ins. Code § 1367.205 · Subchapter E. DEVELOPMENTAL DELAYS
COVERAGE OF CERTAIN THERAPIES.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A health benefit plan that provides coverage for rehabilitative and habilitative therapies under this subchapter may not prohibit or restrict payment for covered services provided to a child and determined to be necessary to and provided in accordance with an individualized family service plan issued by the Interagency Council on Early Childhood Intervention under Chapter 73, Human Resources Code.
(b) Rehabilitative and habilitative therapies described by Subsection (a) must be covered in the amount, duration, scope, and service setting established in the child's individualized family service plan.
(c) A child is entitled to benefits under this subchapter if the child, as a result of the child's relationship to an insured or enrollee in a health benefit plan, would be entitled to coverage under an accident and health insurance policy under Section 1201.061, 1201.062, 1201.063, or 1201.064.
Notes and commentary — not statutory text
History
Added by Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.040(a), eff. September 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.1367.htm
- Text hash
- sha256 019748f6ed8e6f3a7d83df2225fd7bfb8c524c1fa2aabd8cdb00298cc560a2ba
- 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.
Human Resources Code
Insurance Code
- Tex. Ins. Code § 1201.061COVERAGE FOR ADOPTED CHILD.Printed as Section 1201.061, 1201.062, 1201.063, or 1201.064
- Tex. Ins. Code § 1201.062COVERAGE FOR CERTAIN CHILDREN IN INDIVIDUAL OR GROUP POLICY OR IN PLAN OR PROGRAM.Printed as Section 1201.061, 1201.062, 1201.063, or 1201.064
- Tex. Ins. Code § 1201.063PROHIBITION OF CERTAIN CRITERIA RELATING TO CHILD'S COVERAGE IN INDIVIDUAL OR GROUP POLICY.Printed as Section 1201.061, 1201.062, 1201.063, or 1201.064
- Tex. Ins. Code § 1201.064COVERAGE FOR CHILD OF SPOUSE IN INDIVIDUAL OR GROUP POLICY.Printed as Section 1201.061, 1201.062, 1201.063, or 1201.064
Cited by 1 provision
Provisions in this library whose text cites Tex. Ins. Code § 1367.205. Each shows the citation as that text prints it.
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.