Tex. Ins. Code § 1551.219 · Subchapter E. GROUP COVERAGES
DISEASE MANAGEMENT SERVICES.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) In this section, "disease management services" means services to assist an individual manage a disease or other chronic health condition, such as heart disease, diabetes, respiratory illness, end-stage renal disease, HIV infection, or AIDS, and with respect to which the board of trustees identifies populations requiring disease management.
(b) A group health benefit plan offered under the group benefits program must provide disease management services or coverage for disease management services in the manner required by the board of trustees, including:
(1) patient self-management education;
(2) provider education;
(3) evidence-based models and minimum standards of care;
(4) standardized protocols and participation criteria; and
(5) physician-directed or physician-supervised care.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 589, Sec. 3, eff. June 20, 2003.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1551.htm
- Text hash
- sha256 72b57b735866330d9cf1b3cc9e9124f797843f63580b3083cf6042c9a490ac86
- 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.