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Subchapter A. General Provisions
Section 1451.001. Definitions; Health Care Practitioners - Sec. 1451.001. DEFINITIONS; HEALTH CARE PRACTITIONERS. In this chapter: (1)...
Subchapter B. Designation of Practitioners Under Accident and Health Insurance Policy
Section 1451.051. Applicability of Subchapter - Sec. 1451.051. APPLICABILITY OF SUBCHAPTER. (a) This subchapter applies to...
Section 1451.052. Applicability of General Provisions of Other Law - Sec. 1451.052. APPLICABILITY OF GENERAL PROVISIONS OF OTHER LAW. The...
Section 1451.053. Practitioner Designation - Sec. 1451.053. PRACTITIONER DESIGNATION. (a) An accident and health insurance...
Section 1451.054. Terms Used to Designate Health Care Practitioners - Sec. 1451.054. TERMS USED TO DESIGNATE HEALTH CARE PRACTITIONERS. A...
Subchapter C. Selection of Practitioners
Section 1451.101. Definitions - Sec. 1451.101. DEFINITIONS. In this subchapter: (1) "Health insurance policy"...
Section 1451.102. Applicability of Subchapter - Sec. 1451.102. APPLICABILITY OF SUBCHAPTER. Except as provided by this...
Section 1451.103. Conflicting Provisions Void - Sec. 1451.103. CONFLICTING PROVISIONS VOID. (a) A provision of a...
Section 1451.104. Nondiscriminatory Payment or Reimbursement; Exception - Sec. 1451.104. NONDISCRIMINATORY PAYMENT OR REIMBURSEMENT; EXCEPTION. (a) An insurer...
Section 1451.105. Selection of Acupuncturist - Sec. 1451.105. SELECTION OF ACUPUNCTURIST. An insured may select an...
Section 1451.106. Selection of Advanced Practice Nurse - Sec. 1451.106. SELECTION OF ADVANCED PRACTICE NURSE. An insured may...
Section 1451.107. Selection of Audiologist - Sec. 1451.107. SELECTION OF AUDIOLOGIST. An insured may select an...
Section 1451.108. Selection of Chemical Dependency Counselor - Sec. 1451.108. SELECTION OF CHEMICAL DEPENDENCY COUNSELOR. An insured may...
Section 1451.109. Selection of Chiropractor - Sec. 1451.109. SELECTION OF CHIROPRACTOR. (a) An insured may select...
Section 1451.110. Selection of Dentist - Sec. 1451.110. SELECTION OF DENTIST. An insured may select a...
Section 1451.111. Selection of Dietitian - Sec. 1451.111. SELECTION OF DIETITIAN. An insured may select a...
Section 1451.112. Selection of Hearing Instrument Fitter and Dispenser - Sec. 1451.112. SELECTION OF HEARING INSTRUMENT FITTER AND DISPENSER. An...
Section 1451.113. Selection of Licensed Clinical Social Worker - Sec. 1451.113. SELECTION OF LICENSED CLINICAL SOCIAL WORKER. An insured...
Section 1451.114. Selection of Licensed Professional Counselor - Sec. 1451.114. SELECTION OF LICENSED PROFESSIONAL COUNSELOR. An insured may...
Section 1451.115. Selection of Surgical Assistant - Sec. 1451.115. SELECTION OF SURGICAL ASSISTANT. An insured may select...
Section 1451.116. Selection of Marriage and Family Therapist - Sec. 1451.116. SELECTION OF MARRIAGE AND FAMILY THERAPIST. An insured...
Section 1451.117. Selection of Nurse First Assistant - Sec. 1451.117. SELECTION OF NURSE FIRST ASSISTANT. An insured may...
Section 1451.118. Selection of Occupational Therapist - Sec. 1451.118. SELECTION OF OCCUPATIONAL THERAPIST. An insured may select...
Section 1451.119. Selection of Optometrist - Sec. 1451.119. SELECTION OF OPTOMETRIST. An insured may select an...
Section 1451.120. Selection of Physical Therapist - Sec. 1451.120. SELECTION OF PHYSICAL THERAPIST. An insured may select...
Section 1451.121. Selection of Physician Assistant - Sec. 1451.121. SELECTION OF PHYSICIAN ASSISTANT. An insured may select...
Section 1451.122. Selection of Podiatrist - Sec. 1451.122. SELECTION OF PODIATRIST. An insured may select a...
Section 1451.123. Selection of Psychological Associate - Sec. 1451.123. SELECTION OF PSYCHOLOGICAL ASSOCIATE. An insured may select...
Section 1451.124. Selection of Psychologist - Sec. 1451.124. SELECTION OF PSYCHOLOGIST. An insured may select a...
Section 1451.125. Selection of Speech-Language Pathologist - Sec. 1451.125. SELECTION OF SPEECH-LANGUAGE PATHOLOGIST. An insured may select...
Section 1451.126. Reimbursement for Physical Modalities and Procedures by Health Insurer, Administrator, Health Maintenance Organization, or Preferred Provider Benefit Plan Issuer - Sec. 1451.126. REIMBURSEMENT FOR PHYSICAL MODALITIES AND PROCEDURES BY HEALTH...
Section 1451.1261. Reimbursement for Certain Services and Procedures Performed by Pharmacists - Sec. 1451.1261. REIMBURSEMENT FOR CERTAIN SERVICES AND PROCEDURES PERFORMED BY...
Section 1451.127. Duty of Person Arranging Provider Contracts for Health Insurer or Health Maintenance Organization - Sec. 1451.127. DUTY OF PERSON ARRANGING PROVIDER CONTRACTS FOR HEALTH...
Section 1451.128. Selection of Pharmacist - Sec. 1451.128. SELECTION OF PHARMACIST. An insured may select a...
Subchapter D. Access to Optometrists and Ophthalmologists Used Under Managed Care Plan
Section 1451.151. Definitions - Sec. 1451.151. DEFINITIONS. In this subchapter: (1) "Managed care plan"...
Section 1451.152. Applicability and Construction of Subchapter - Sec. 1451.152. APPLICABILITY AND CONSTRUCTION OF SUBCHAPTER. (a) This subchapter...
Section 1451.153. Use of Optometrist, Therapeutic Optometrist, or Ophthalmologist - Sec. 1451.153. USE OF OPTOMETRIST, THERAPEUTIC OPTOMETRIST, OR OPHTHALMOLOGIST. (a)...
Section 1451.154. Participation of Therapeutic Optometrist - Sec. 1451.154. PARTICIPATION OF THERAPEUTIC OPTOMETRIST. (a) In this section:...
Section 1451.155. Contracts With Optometrists or Therapeutic Optometrists - Sec. 1451.155. CONTRACTS WITH OPTOMETRISTS OR THERAPEUTIC OPTOMETRISTS. (a) In...
Section 1451.156. Prohibited Conduct - Sec. 1451.156. PROHIBITED CONDUCT. (a) A managed care plan, as...
Subchapter E. Dental Care Benefits in Health Insurance Policies or Employee Benefit Plans
Section 1451.201. Definitions - Sec. 1451.201. DEFINITIONS. In this subchapter: (1) "Dental care service"...
Section 1451.202. Applicability and Construction of Subchapter - Sec. 1451.202. APPLICABILITY AND CONSTRUCTION OF SUBCHAPTER. (a) This subchapter...
Section 1451.203. Conflicting Provisions - Sec. 1451.203. CONFLICTING PROVISIONS. A provision of an employee benefit...
Section 1451.204. Certain Conduct Permitted - Sec. 1451.204. CERTAIN CONDUCT PERMITTED. (a) Notwithstanding any other provision...
Section 1451.205. Disclosure of Benefit Terms - Sec. 1451.205. DISCLOSURE OF BENEFIT TERMS. (a) An employee benefit...
Section 1451.206. Payment or Reimbursement of Dentist - Sec. 1451.206. PAYMENT OR REIMBURSEMENT OF DENTIST. (a) The employee...
Section 1451.2065. Contracts With Dentists - Sec. 1451.2065. CONTRACTS WITH DENTISTS. (a) In this section, "covered...
Section 1451.207. Prohibited Conduct - Sec. 1451.207. PROHIBITED CONDUCT. (a) An employee benefit plan or...
Section 1451.208. Prior Authorization of Dental Care Services - Sec. 1451.208. PRIOR AUTHORIZATION OF DENTAL CARE SERVICES. (a) For...
Subchapter F. Access to Obstetrical or Gynecological Care
Section 1451.251. Definition - Sec. 1451.251. DEFINITION. In this subchapter, "enrollee" means an individual...
Section 1451.252. Applicability of Subchapter - Sec. 1451.252. APPLICABILITY OF SUBCHAPTER. This subchapter applies only to...
Section 1451.253. Exception - Sec. 1451.253. EXCEPTION. This subchapter does not apply to: (1)...
Section 1451.254. Rules - Sec. 1451.254. RULES. The commissioner shall adopt rules necessary to...
Section 1451.255. Right of Female Enrollee to Select Obstetrician or Gynecologist - Sec. 1451.255. RIGHT OF FEMALE ENROLLEE TO SELECT OBSTETRICIAN OR...
Section 1451.256. Direct Access to Services of Obstetrician or Gynecologist - Sec. 1451.256. DIRECT ACCESS TO SERVICES OF OBSTETRICIAN OR GYNECOLOGIST....
Section 1451.257. Availability of Providers - Sec. 1451.257. AVAILABILITY OF PROVIDERS. To ensure access to services...
Section 1451.258. Notice of Available Providers - Sec. 1451.258. NOTICE OF AVAILABLE PROVIDERS. (a) A health benefit...
Section 1451.259. Limits on Physician Sanctions - Sec. 1451.259. LIMITS ON PHYSICIAN SANCTIONS. (a) A health benefit...
Section 1451.260. Administrative Penalty - Sec. 1451.260. ADMINISTRATIVE PENALTY. An entity that operates a health...
Subchapter G. Access to Dietitian Services
Section 1451.301. Applicability of General Provisions of Other Law - Sec. 1451.301. APPLICABILITY OF GENERAL PROVISIONS OF OTHER LAW. The...
Section 1451.302. Dietitian Services - Sec. 1451.302. DIETITIAN SERVICES. An individual or group accident and...
Subchapter H. Disability Certified by Podiatrist
Section 1451.351. Loss of Income Benefits for Disability Treatable by Podiatrist - Sec. 1451.351. LOSS OF INCOME BENEFITS FOR DISABILITY TREATABLE BY...
Subchapter I. Use of Osteopathic Hospital
Section 1451.401. Contract With Osteopathic Hospital - Sec. 1451.401. CONTRACT WITH OSTEOPATHIC HOSPITAL. A health maintenance organization...
Section 1451.402. Services at Osteopathic Hospital - Sec. 1451.402. SERVICES AT OSTEOPATHIC HOSPITAL. A health maintenance organization...
Section 1451.403. Request for Action of Commissioner - Sec. 1451.403. REQUEST FOR ACTION OF COMMISSIONER. An aggrieved party...
Section 1451.404. Enforcement - Sec. 1451.404. ENFORCEMENT. The commissioner shall take all reasonable actions...
Subchapter J. Reimbursement of Health Care Providers
Section 1451.451. Reimbursement Under Medicaid-Based Fee Schedule - Sec. 1451.451. REIMBURSEMENT UNDER MEDICAID-BASED FEE SCHEDULE. (a) An insurance...
Subchapter K. Health Care Provider Directories
Section 1451.501. Definitions - Sec. 1451.501. DEFINITIONS. In this subchapter: (1) "Facility" has the...
Section 1451.502. Applicability of Subchapter - Sec. 1451.502. APPLICABILITY OF SUBCHAPTER. This subchapter applies only to...
Section 1451.503. Exception - Sec. 1451.503. EXCEPTION. This subchapter does not apply to: (1)...
Section 1451.504. Physician and Health Care Provider Directories - Sec. 1451.504. PHYSICIAN AND HEALTH CARE PROVIDER DIRECTORIES. (a) A...
Section 1451.505. Physician and Health Care Provider Directory on Internet Website - Sec. 1451.505. PHYSICIAN AND HEALTH CARE PROVIDER DIRECTORY ON INTERNET...