Sec. 1369.105. CERTAIN COST-SHARING PROVISIONS PROHIBITED. (a) A health benefit plan may not impose a deductible, copayment, coinsurance, or other cost-sharing provision applicable to benefits for prescription contraceptive drugs or devices unless the amount of the required cost-sharing is the same as or less than the amount of the required cost-sharing applicable to benefits for other prescription drugs or devices under the plan.
(b) A health benefit plan may not impose a deductible, copayment, coinsurance, or other cost-sharing provision applicable to benefits for outpatient contraceptive services unless the amount of the required cost-sharing is the same as or less than the amount of the required cost-sharing applicable to benefits for other outpatient services under the plan.
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