Sec. 22.023. PAYMENT FOR CERTAIN INSURANCE COVERAGE. (a) In this section, "AIDS" and "HIV" have the meanings assigned by Section 81.101, Health and Safety Code.
(b) Subject to the limitations in Subsection (c), the commission may purchase and pay the premiums for a conversion policy or other health insurance coverage for a person who is diagnosed as having AIDS, HIV, or other terminal or chronic illness and whose income level is less than 200 percent of the federal poverty level, based on the federal Office of Management and Budget poverty index in effect at the time coverage is provided, even though a person may be eligible for benefits under Chapter 32. Health insurance coverage for which premiums may be paid under this section includes coverage purchased from an insurance company authorized to do business in this state, a group hospital service corporation operating under Chapter 842, Insurance Code, a health maintenance organization operating under Chapter 843, Insurance Code, or an insurance pool created by the federal or state government or a political subdivision of the state.
(c) If a person is eligible for benefits under Chapter 32, the commission may not purchase or pay premiums for a health insurance policy under this section if the premiums to be charged for the health insurance coverage are greater than premiums paid for benefits under Chapter 32. The commission may not purchase or pay premiums for health insurance coverage under this section for a person at the same time that that person is covered by benefits under Chapter 32.
(d) The commission shall pay for that coverage with money made available to the commission for that purpose.
(e) The executive commissioner by rule may adopt necessary rules, criteria, and plans and may enter into necessary contracts to carry out this section.
Added by Acts 1989, 71st Leg., ch. 1041, Sec. 5, eff. Sept. 1, 1989. Amended by Acts 1991, 72nd Leg., ch. 14, Sec. 284(10), eff. Sept. 1, 1991; Acts 2003, 78th Leg., ch. 1276, Sec. 10A.534, eff. Sept. 1, 2003.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 4.026, eff. April 2, 2015.
Structure Texas Statutes
Title 2 - Human Services and Protective Services in General
Subtitle B - Administrative Provisions and General Functions Relating to Human Services
Chapter 22 - General Functions Relating to Human Services
Section 22.0001. Commissioner's Powers and Duties; Effect of Conflict With Other Law
Section 22.001. General Powers and Duties of Commission
Section 22.0015. Evaluation and Improvement of Programs
Section 22.002. Administration of Federal Welfare Programs
Section 22.003. Research and Demonstration Projects
Section 22.0031. Projects for High-Risk Pregnant Women and High-Risk Children
Section 22.0033. Prohibited Activities by Former Officers or Employees
Section 22.004. Provision of Legal Services
Section 22.005. Custodian of Assistance Funds
Section 22.007. Public Information Contract Requirement
Section 22.008. Enforcement and Alteration of Service Delivery Standards
Section 22.009. Advisory Committees
Section 22.011. Memorandum of Understanding on Services to Persons With Disabilities
Section 22.013. Memorandum of Understanding on Public Awareness Information
Section 22.014. Memorandum of Understanding on Hospital and Long-Term Care Services
Section 22.016. Special Purchasing Procedures
Section 22.017. Program Accessibility
Section 22.018. Cooperation With State Office of Administrative Hearings
Section 22.019. Due Process Procedures
Section 22.020. Audit Procedure
Section 22.021. Distribution of Funds
Section 22.022. Residency Requirements
Section 22.023. Payment for Certain Insurance Coverage
Section 22.024. Development of Service Plan for Elderly Persons or Persons With Disabilities
Section 22.025. Error-Rate Reduction
Section 22.0251. Timely Determination of Overpayments
Section 22.0252. Telephone Collection Program
Section 22.0253. Participation in Federal Tax Refund Offset Program
Section 22.0254. Prosecution of Fraudulent Claims
Section 22.0255. Electronic Benefits Transfer Card; Returned-Mail Reduction
Section 22.026. Reduction of Client Fraud
Section 22.027. Fraud Prevention
Section 22.028. Electronic Benefits Transfer: Monitoring
Section 22.029. Project for Fraud Detection and Prevention Through Data Matching
Section 22.0292. Information Matching System Relating to Immigrants and Foreign Visitors
Section 22.030. Agreements for Purchase of Services for Children
Section 22.031. Unannounced Inspections
Section 22.032. Use of Earned Federal Funds
Section 22.039. Training and Continuing Education Related to Certain Long-Term Care Facilities