Sec. 1369.104. EXCLUSION OR LIMITATION PROHIBITED. (a) A health benefit plan that provides benefits for prescription drugs or devices may not exclude or limit benefits to enrollees for:
(1) a prescription contraceptive drug or device approved by the United States Food and Drug Administration; or
(2) an outpatient contraceptive service.
(b) This section does not prohibit a limitation that applies to all prescription drugs or devices or all services for which benefits are provided under a health benefit plan.
(c) This section does not require a health benefit plan to cover abortifacients or any other drug or device that terminates a pregnancy.
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
Chapter 1369 - Benefits Related to Prescription Drugs and Devices and Related Services
Subchapter C. Coverage of Prescription Contraceptive Drugs and Devices and Related Services
Section 1369.102. Applicability of Subchapter
Section 1369.104. Exclusion or Limitation Prohibited
Section 1369.105. Certain Cost-Sharing Provisions Prohibited
Section 1369.106. Certain Waiting Periods Prohibited
Section 1369.107. Prohibited Conduct
Section 1369.108. Exemption for Entities Associated With Religious Organization