Tex. Ins. Code § 4201.053 · Subchapter B. APPLICABILITY OF CHAPTER
MEDICAID AND OTHER STATE HEALTH OR MENTAL HEALTH PROGRAMS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) Except as provided by Section 4201.057, this chapter does not apply to:
(1) the state Medicaid program;
(2) the services program for children with special health care needs under Chapter 35, Health and Safety Code;
(3) a program administered under Title 2, Human Resources Code;
(4) a program of the Department of State Health Services relating to mental health services;
(5) a program of the Department of Aging and Disability Services relating to intellectual disability services; or
(6) a program of the Texas Department of Criminal Justice.
(b) Sections 4201.303(c), 4201.304(b), 4201.357(a-1), and 4201.3601 do not apply to:
(1) the child health program under Chapter 62, Health and Safety Code, or the health benefits plan for children under Chapter 63, Health and Safety Code;
(2) the Employees Retirement System of Texas or another entity issuing or administering a coverage plan under Chapter 1551;
(3) the Teacher Retirement System of Texas or another entity issuing or administering a plan under Chapter 1575 or 1579;
(4) The Texas A&M University System or The University of Texas System or another entity issuing or administering coverage under Chapter 1601; and
(5) a managed care organization providing a Medicaid managed care plan under Chapter 540 or 540A, Government Code, as applicable.
Notes and commentary — not statutory text
History
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1037 (H.B. 1621), Sec. 1, eff. September 1, 2015.
Acts 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 2.139, 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.4201.htm
- Text hash
- sha256 c083775d5869b332351cfa322c65c15acaf25e4ad5e8a37d4354770f86a8768a
- 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
- Tex. Health & Safety Code ch. 35CHILDREN WITH SPECIAL HEALTH CARE NEEDSPrinted as Chapter 35, Health and Safety Code
- Tex. Health & Safety Code ch. 62CHILD HEALTH PLAN FOR CERTAIN LOW-INCOME CHILDRENPrinted as Chapter 62, Health and Safety Code
- Tex. Health & Safety Code ch. 63HEALTH BENEFITS PLAN FOR CERTAIN CHILDRENPrinted as Chapter 63, Health and Safety Code
Human Resources Code
Insurance Code
- 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. 1601UNIFORM INSURANCE BENEFITS ACT FOR EMPLOYEES OF THE UNIVERSITY OF TEXAS SYSTEM AND THE TEXAS A&M UNIVERSITY SYSTEMPrinted as Chapter 1601
- Tex. Ins. Code § 4201.057HEALTH MAINTENANCE ORGANIZATIONS.Printed as Section 4201.057
- Tex. Ins. Code § 4201.303ADVERSE DETERMINATION: CONTENTS OF NOTICE.Printed as Sections 4201.303(c), 4201.304(b), 4201.357
- Tex. Ins. Code § 4201.304TIME FOR NOTICE OF ADVERSE DETERMINATION.Printed as Sections 4201.303(c), 4201.304(b), 4201.357
- Tex. Ins. Code § 4201.357EXPEDITED APPEAL FOR DENIAL OF EMERGENCY CARE, CONTINUED HOSPITALIZATION, PRESCRIPTION DRUGS OR INTRAVENOUS INFUSIONS.Printed as Sections 4201.303(c), 4201.304(b), 4201.357
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.