State Codes and Statutes
Statutes > Texas > Insurance-code > Title-8-health-insurance-and-other-health-coverages > Chapter-1361-detection-and-prevention-of-osteoporosis
INSURANCE CODE
TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES
CHAPTER 1361. DETECTION AND PREVENTION OF OSTEOPOROSIS
Sec. 1361.001. DEFINITION. In this chapter, "qualified
enrollee" means an individual entitled to coverage under a group
health benefit plan who is:
(1) a postmenopausal woman who is not receiving estrogen
replacement therapy;
(2) an individual with:
(A) vertebral abnormalities;
(B) primary hyperparathyroidism; or
(C) a history of bone fractures; or
(3) an individual who is:
(A) receiving long-term glucocorticoid therapy; or
(B) being monitored to assess the response to or efficacy of an
approved osteoporosis drug therapy.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
Sec. 1361.002. APPLICABILITY OF CHAPTER. This chapter applies
only to a group health benefit plan delivered, issued for
delivery, or renewed in this state that provides coverage for
medical or surgical expenses incurred as a result of accident or
sickness, including:
(1) a group insurance policy;
(2) a group contract issued by a group hospital service
corporation operating under Chapter 842; and
(3) a group contract issued by a health maintenance organization
operating under Chapter 843.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
Sec. 1361.003. COVERAGE REQUIRED. A group health benefit plan
must provide to a qualified enrollee coverage for medically
accepted bone mass measurement to detect low bone mass and to
determine the enrollee's risk of osteoporosis and fractures
associated with osteoporosis.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
State Codes and Statutes
Statutes > Texas > Insurance-code > Title-8-health-insurance-and-other-health-coverages > Chapter-1361-detection-and-prevention-of-osteoporosis
INSURANCE CODE
TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES
CHAPTER 1361. DETECTION AND PREVENTION OF OSTEOPOROSIS
Sec. 1361.001. DEFINITION. In this chapter, "qualified
enrollee" means an individual entitled to coverage under a group
health benefit plan who is:
(1) a postmenopausal woman who is not receiving estrogen
replacement therapy;
(2) an individual with:
(A) vertebral abnormalities;
(B) primary hyperparathyroidism; or
(C) a history of bone fractures; or
(3) an individual who is:
(A) receiving long-term glucocorticoid therapy; or
(B) being monitored to assess the response to or efficacy of an
approved osteoporosis drug therapy.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
Sec. 1361.002. APPLICABILITY OF CHAPTER. This chapter applies
only to a group health benefit plan delivered, issued for
delivery, or renewed in this state that provides coverage for
medical or surgical expenses incurred as a result of accident or
sickness, including:
(1) a group insurance policy;
(2) a group contract issued by a group hospital service
corporation operating under Chapter 842; and
(3) a group contract issued by a health maintenance organization
operating under Chapter 843.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
Sec. 1361.003. COVERAGE REQUIRED. A group health benefit plan
must provide to a qualified enrollee coverage for medically
accepted bone mass measurement to detect low bone mass and to
determine the enrollee's risk of osteoporosis and fractures
associated with osteoporosis.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
State Codes and Statutes
Statutes >
Texas >
Insurance-code >
Title-8-health-insurance-and-other-health-coverages >
Chapter-1361-detection-and-prevention-of-osteoporosis INSURANCE CODE
TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES
CHAPTER 1361. DETECTION AND PREVENTION OF OSTEOPOROSIS
Sec. 1361.001. DEFINITION. In this chapter, "qualified
enrollee" means an individual entitled to coverage under a group
health benefit plan who is:
(1) a postmenopausal woman who is not receiving estrogen
replacement therapy;
(2) an individual with:
(A) vertebral abnormalities;
(B) primary hyperparathyroidism; or
(C) a history of bone fractures; or
(3) an individual who is:
(A) receiving long-term glucocorticoid therapy; or
(B) being monitored to assess the response to or efficacy of an
approved osteoporosis drug therapy.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
Sec. 1361.002. APPLICABILITY OF CHAPTER. This chapter applies
only to a group health benefit plan delivered, issued for
delivery, or renewed in this state that provides coverage for
medical or surgical expenses incurred as a result of accident or
sickness, including:
(1) a group insurance policy;
(2) a group contract issued by a group hospital service
corporation operating under Chapter 842; and
(3) a group contract issued by a health maintenance organization
operating under Chapter 843.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
Sec. 1361.003. COVERAGE REQUIRED. A group health benefit plan
must provide to a qualified enrollee coverage for medically
accepted bone mass measurement to detect low bone mass and to
determine the enrollee's risk of osteoporosis and fractures
associated with osteoporosis.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,
2005.
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