Sec. 1575.163. LIMITATIONS. The Teacher Retirement System of Texas, as trustee, may not contract for or provide a health benefit plan that excludes from participation in the network a general hospital that:
(1) is located in the geographical service area or areas of the health coverage plan that includes a county that:
(A) has a population of at least 100,000 and not more than 210,000; and
(B) is located in the Texas-Louisiana border region, as that term is defined in Section 2056.002(e), Government Code; and
(2) agrees to provide medical and health care services under the plan subject to the same terms and conditions as other hospital providers under the plan.
Added by Acts 2003, 78th Leg., ch. 201, Sec. 50, eff. Sept. 1, 2003.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 1163 (H.B. 2702), Sec. 57, eff. September 1, 2011.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle H - Health Benefits and Other Coverages for Governmental Employees
Chapter 1575 - Texas Public School Employees Group Benefits Program
Subchapter D. Coverages and Participation
Section 1575.151. Types of Coverages
Section 1575.152. Health Benefit Plan Must Cover Preexisting Conditions
Section 1575.153. Health Benefit Plan Coverage for Retirees
Section 1575.155. Coverage for Dependents of Retiree
Section 1575.156. Coverage for Surviving Spouse or Dependents of Surviving Spouse
Section 1575.157. Coverage for Surviving Dependent Child
Section 1575.158. Group Health Benefit Plans
Section 1575.1582. Eligibility for Group Health Benefit Plans
Section 1575.159. Coverage for Prostate-Specific Antigen Test
Section 1575.160. Group Life or Accidental Death and Dismemberment Insurance: Payment of Claim
Section 1575.161. Enrollment Periods
Section 1575.162. Special Enrollments
Section 1575.164. Disease Management Services
Section 1575.170. Prior Authorization for Certain Drugs
Section 1575.171. Emergency Care Payments
Section 1575.172. Out-of-Network Facility-Based Provider Payments
Section 1575.173. Out-of-Network Diagnostic Imaging Provider or Laboratory Service Provider Payments