Tex. Ins. Code § 1369.552 · Subchapter L. AFFILIATED PROVIDERS
EXCEPTIONS TO APPLICABILITY OF SUBCHAPTER.
Text — Current through the 89th 2nd Called Legislative Session, 2025
Notwithstanding the definition of "health benefit plan" provided by Section 1369.551, this subchapter does not apply to an issuer or provider of health benefits under or a pharmacy benefit manager administering pharmacy benefits under:
(1) the state Medicaid program, including the Medicaid managed care program operated under Chapters 540 and 540A, Government Code;
(2) the child health plan program under Chapter 62, Health and Safety Code;
(3) the TRICARE military health system;
(4) a basic coverage plan under Chapter 1551;
(5) a basic plan under Chapter 1575;
(6) a coverage plan under Chapter 1579;
(7) a plan providing basic coverage under Chapter 1601; or
(8) a workers' compensation insurance policy or other form of providing medical benefits under Title 5, Labor Code.
Notes and commentary — not statutory text
History
Added by Acts 2021, 87th Leg., R.S., Ch. 1012 (H.B. 1919), Sec. 1, eff. September 1, 2021.
Amended by:
Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 2.129, eff. April 1, 2025.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1369.htm
- Text hash
- sha256 583c81bab9fee114f41c1d0c5960036d8ff6223d2c50bea42cbb1b04cab1257b
- 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.
Health and Safety Code
Insurance Code
- Tex. Ins. Code § 1369.551DEFINITIONS.Printed as Section 1369.551
- Tex. Ins. Code ch. 1551TEXAS EMPLOYEES GROUP BENEFITS ACTPrinted as Chapter 1551
- Tex. Ins. Code ch. 1575TEXAS PUBLIC SCHOOL EMPLOYEES GROUP BENEFITS PROGRAMPrinted as Chapter 1575
- Tex. Ins. Code ch. 1579TEXAS SCHOOL EMPLOYEES UNIFORM GROUP HEALTH COVERAGEPrinted as Chapter 1579
- Tex. Ins. Code ch. 1601UNIFORM INSURANCE BENEFITS ACT FOR EMPLOYEES OF THE UNIVERSITY OF TEXAS SYSTEM AND THE TEXAS A&M UNIVERSITY SYSTEMPrinted as Chapter 1601
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.