Sec. 1357.054. COVERAGE REQUIRED. (a) A health benefit plan that provides coverage for the treatment of breast cancer must provide to each enrollee coverage for inpatient care for a minimum of:
(1) 48 hours following a mastectomy; and
(2) 24 hours following a lymph node dissection for the treatment of breast cancer.
(b) A health benefit plan is not required to provide the minimum hours of coverage of inpatient care required under Subsection (a) if the enrollee and the enrollee's attending physician determine that a shorter period of inpatient care is appropriate.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle E - Benefits Payable Under Health Coverages
Subchapter B. Hospital Stay Following Mastectomy and Certain Related Procedures
Section 1357.052. Applicability of Subchapter
Section 1357.054. Coverage Required
Section 1357.055. Prohibited Conduct