Tex. Ins. Code § 1376.003 · Chapter 1376. CERTAIN TESTS FOR EARLY DETECTION OF CARDIOVASCULAR DISEASE
MINIMUM COVERAGE REQUIRED.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A health benefit plan that provides coverage for screening medical procedures must provide the minimum coverage required by this section to each covered individual:
(1) who is:
(A) a male older than 45 years of age and younger than 76 years of age; or
(B) a female older than 55 years of age and younger than 76 years of age; and
(2) who:
(A) is diabetic; or
(B) has a risk of developing coronary heart disease, based on a score derived using the Framingham Heart Study coronary prediction algorithm, that is intermediate or higher.
(b) The minimum coverage required to be provided under this section is coverage of up to $200 for one of the following noninvasive screening tests for atherosclerosis and abnormal artery structure and function every five years, performed by a laboratory that is certified by a national organization recognized by the commissioner by rule for the purposes of this section:
(1) computed tomography (CT) scanning measuring coronary artery calcification; or
(2) ultrasonography measuring carotid intima-media thickness and plaque.
Notes and commentary — not statutory text
History
Added by Acts 2009, 81st Leg., R.S., Ch. 1270 (H.B. 1290), Sec. 1, eff. September 1, 2009.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1376.htm
- Text hash
- sha256 49c659d4eb625fccf63a10fd615d4cdf24b818e8d130e02935ba9d00e010ed1c
- 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.