Texas Statutes
Title 2 - Health
Subtitle C - Programs Providing Health Care Benefits and Services

Section 61.036. Determination of Eligibility for Purposes of State Assistance - Sec. 61.036. DETERMINATION OF ELIGIBILITY FOR PURPOSES OF STATE ASSISTANCE....

Section 61.037. County Eligibility for State Assistance - Sec. 61.037. COUNTY ELIGIBILITY FOR STATE ASSISTANCE. (a) The department...

Section 61.038. Distribution of Assistance Funds - Sec. 61.038. DISTRIBUTION OF ASSISTANCE FUNDS. (a) If the department...

Section 61.039. Failure to Provide State Assistance - Sec. 61.039. FAILURE TO PROVIDE STATE ASSISTANCE. If the department...

Section 61.0395. Limited to Appropriated Funds - Sec. 61.0395. LIMITED TO APPROPRIATED FUNDS. (a) The total amount...

Section 61.040. Tax Information - Sec. 61.040. TAX INFORMATION. The comptroller shall give the department...

Section 61.041. County Reporting - Sec. 61.041. COUNTY REPORTING. (a) The department shall establish monthly...

Section 61.042. Employment Services Program - Sec. 61.042. EMPLOYMENT SERVICES PROGRAM. (a) A county may establish...

Section 61.043. Prevention and Detection of Fraud - Sec. 61.043. PREVENTION AND DETECTION OF FRAUD. (a) The county...

Section 61.044. Subrogation - Sec. 61.044. SUBROGATION. (a) The filing of an application for...

Subchapter C. Persons Who Reside in an Area Served by a Public Hospital or Hospital District

Section 61.051. Application of Subchapter - Sec. 61.051. APPLICATION OF SUBCHAPTER. (a) This subchapter applies to...

Section 61.052. General Eligibility Provisions - Sec. 61.052. GENERAL ELIGIBILITY PROVISIONS. (a) A public hospital or...

Section 61.053. Application Procedure - Sec. 61.053. APPLICATION PROCEDURE. (a) A public hospital or hospital...

Section 61.054. Basic Health Care Services Provided by a Public Hospital - Sec. 61.054. BASIC HEALTH CARE SERVICES PROVIDED BY A PUBLIC...

Section 61.055. Basic Health Care Services Provided by Hospital Districts - Sec. 61.055. BASIC HEALTH CARE SERVICES PROVIDED BY HOSPITAL DISTRICTS....

Section 61.056. Provision of Health Care Services - Sec. 61.056. PROVISION OF HEALTH CARE SERVICES. (a) A public...

Section 61.057. Mandated Provider - Sec. 61.057. MANDATED PROVIDER. A public hospital may select one...

Section 61.058. Notification of Provision of Nonemergency Services - Sec. 61.058. NOTIFICATION OF PROVISION OF NONEMERGENCY SERVICES. (a) A...

Section 61.059. Notification of Provision of Emergency Services - Sec. 61.059. NOTIFICATION OF PROVISION OF EMERGENCY SERVICES. (a) If...

Section 61.060. Payment for Services - Sec. 61.060. PAYMENT FOR SERVICES. (a) To the extent prescribed...

Section 61.061. Payment Rates and Limits - Sec. 61.061. PAYMENT RATES AND LIMITS. The payment rates and...

Section 61.062. Responsibility of Governmental Entity - Sec. 61.062. RESPONSIBILITY OF GOVERNMENTAL ENTITY. A governmental entity that...

Section 61.063. Procedure to Change Eligibility Standards or Services Provided - Sec. 61.063. PROCEDURE TO CHANGE ELIGIBILITY STANDARDS OR SERVICES PROVIDED....

Section 61.064. Transfer of a Public Hospital - Sec. 61.064. TRANSFER OF A PUBLIC HOSPITAL. (a) A governmental...

Section 61.065. County Responsibility for Hospital Sold on or After January 1, 1988 - Sec. 61.065. COUNTY RESPONSIBILITY FOR HOSPITAL SOLD ON OR AFTER...

Section 61.066. Prevention and Detection of Fraud - Sec. 61.066. PREVENTION AND DETECTION OF FRAUD. (a) A hospital...

Section 61.067. Lien by Non-Provider Hospital District - Sec. 61.067. LIEN BY NON-PROVIDER HOSPITAL DISTRICT. (a) This section...

Section 61.068. Employment Services Program - Sec. 61.068. EMPLOYMENT SERVICES PROGRAM. (a) A public hospital or...

Chapter 62 - Child Health Plan for Certain Low-Income Children

Subchapter A. General Provisions

Section 62.001. Objective of the State Child Health Plan - Sec. 62.001. OBJECTIVE OF THE STATE CHILD HEALTH PLAN. The...

Section 62.002. Definitions - Sec. 62.002. DEFINITIONS. In this chapter: (1) Repealed by Acts...

Section 62.003. Not an Entitlement; Termination of Program - Sec. 62.003. NOT AN ENTITLEMENT; TERMINATION OF PROGRAM. (a) This...

Section 62.004. Federal Law and Regulations - Sec. 62.004. FEDERAL LAW AND REGULATIONS. The executive commissioner shall...

Subchapter B. Administration of Child Health Plan Program

Section 62.051. Duties of Executive Commissioner and Commission in General - Sec. 62.051. DUTIES OF EXECUTIVE COMMISSIONER AND COMMISSION IN GENERAL....

Section 62.052. Authority of Commission Relating to Health Plan Provider Contracts - Sec. 62.052. AUTHORITY OF COMMISSION RELATING TO HEALTH PLAN PROVIDER...

Section 62.053. Authority of Commission Relating to Eligibility and Medicaid Coordination - Sec. 62.053. AUTHORITY OF COMMISSION RELATING TO ELIGIBILITY AND MEDICAID...

Section 62.0531. Authority of Commission Relating to Third Party Administrator - Sec. 62.0531. AUTHORITY OF COMMISSION RELATING TO THIRD PARTY ADMINISTRATOR....

Section 62.054. Duties of Texas Department of Insurance - Sec. 62.054. DUTIES OF TEXAS DEPARTMENT OF INSURANCE. (a) At...

Section 62.055. Contracts for Implementation of Child Health Plan - Sec. 62.055. CONTRACTS FOR IMPLEMENTATION OF CHILD HEALTH PLAN. (a)...

Section 62.056. Community Outreach Campaign; Toll-Free Hotline - Sec. 62.056. COMMUNITY OUTREACH CAMPAIGN; TOLL-FREE HOTLINE. (a) The commission...

Section 62.058. Fraud Prevention - Sec. 62.058. FRAUD PREVENTION. The commission shall develop and implement...

Section 62.0582. Third-Party Billing Vendors - Sec. 62.0582. THIRD-PARTY BILLING VENDORS. (a) A third-party billing vendor...

Section 62.060. Health Information Technology Standards - Sec. 62.060. HEALTH INFORMATION TECHNOLOGY STANDARDS. (a) In this section,...

Subchapter C. Eligibility for Coverage Under Child Health Plan

Section 62.101. Eligibility - Sec. 62.101. ELIGIBILITY. (a) A child is eligible for health...

Section 62.1011. Verification of Income - Sec. 62.1011. VERIFICATION OF INCOME. The commission shall continue employing...

Section 62.1015. Eligibility of Certain Children; Disallowance of Matching Funds - Sec. 62.1015. ELIGIBILITY OF CERTAIN CHILDREN; DISALLOWANCE OF MATCHING FUNDS....

Section 62.102. Continuous Coverage - Sec. 62.102. CONTINUOUS COVERAGE. (a) Subject to a review under...

Section 62.103. Application Form and Procedures - Sec. 62.103. APPLICATION FORM AND PROCEDURES. (a) The executive commissioner...

Section 62.105. Coverage for Qualified Aliens - Sec. 62.105. COVERAGE FOR QUALIFIED ALIENS. The commission shall provide...

Section 62.106. Suspension and Automatic Reinstatement of Eligibility for Children in Juvenile Facilities - Sec. 62.106. SUSPENSION AND AUTOMATIC REINSTATEMENT OF ELIGIBILITY FOR CHILDREN...

Section 62.107. Notice of Certain Placements in Juvenile Facilities - Sec. 62.107. NOTICE OF CERTAIN PLACEMENTS IN JUVENILE FACILITIES. (a)...

Subchapter D. Child Health Plan

Section 62.151. Child Health Plan Coverage - Sec. 62.151. CHILD HEALTH PLAN COVERAGE. (a) The child health...

Section 62.1511. Coverage for Maternal Depression Screening - Sec. 62.1511. COVERAGE FOR MATERNAL DEPRESSION SCREENING. (a) In this...

Section 62.155. Health Plan Providers - Sec. 62.155. HEALTH PLAN PROVIDERS. (a) The commission shall select...

Section 62.1551. Inclusion of Certain Health Care Providers in Provider Networks - Sec. 62.1551. INCLUSION OF CERTAIN HEALTH CARE PROVIDERS IN PROVIDER...

Section 62.156. Health Care Providers - Sec. 62.156. HEALTH CARE PROVIDERS. Health care providers who provide...

Section 62.1561. Prohibition of Certain Health Care Providers - Sec. 62.1561. PROHIBITION OF CERTAIN HEALTH CARE PROVIDERS. The executive...

Section 62.157. Telemedicine Medical Services, Teledentistry Dental Services, and Telehealth Services for Children With Special Health Care Needs - Sec. 62.157. TELEMEDICINE MEDICAL SERVICES, TELEDENTISTRY DENTAL SERVICES, AND TELEHEALTH...

Section 62.1571. Telemedicine Medical Services and Teledentistry Dental Services - Text of section as amended by Acts 2021, 87th Leg.,...

Section 62.1571. Telemedicine Medical Services and Telehealth Services - Text of section as amended by Acts 2021, 87th Leg.,...

Section 62.158. State Taxes - Sec. 62.158. STATE TAXES. The commission shall ensure that any...

Section 62.159. Disease Management Services - Sec. 62.159. DISEASE MANAGEMENT SERVICES. (a) In this section, "disease...

Chapter 63 - Health Benefits Plan for Certain Children

Section 63.002. Not an Entitlement - Sec. 63.002. NOT AN ENTITLEMENT. This chapter does not establish...

Section 63.003. Health Benefits Plan Coverage for Certain Children - Sec. 63.003. HEALTH BENEFITS PLAN COVERAGE FOR CERTAIN CHILDREN. The...

Section 63.004. Benefits Coverage Required - Sec. 63.004. BENEFITS COVERAGE REQUIRED. To the extent possible, the...

Section 63.005. Health Benefits Plan Provider - Sec. 63.005. HEALTH BENEFITS PLAN PROVIDER. (a) A health benefits...

Section 63.006. Cost-Sharing Payments - Sec. 63.006. COST-SHARING PAYMENTS. (a) Except as provided by Subsection...

Chapter 64 - Miscellaneous Provisions

Section 64.001. Teaching Hospital Account - Sec. 64.001. TEACHING HOSPITAL ACCOUNT. The Department of State Health...

Chapter 65 - Prescription Drug Savings Program for Certain Uninsured Individuals

Subchapter A. General Provisions

Section 65.001. Definitions - Sec. 65.001. DEFINITIONS. In this chapter: (1) "Enrollee" means an...

Section 65.002. Construction of Chapter; Purpose - Sec. 65.002. CONSTRUCTION OF CHAPTER; PURPOSE. (a) This chapter does...

Section 65.003. Rules - Sec. 65.003. RULES. The executive commissioner shall adopt rules as...

Subchapter B. Establishment and Administration of Prescription Drug Savings Program

Section 65.051. Establishment of Program - Sec. 65.051. ESTABLISHMENT OF PROGRAM. (a) The commission shall develop...

Section 65.052. General Powers and Duties of Commission Related to Program - Sec. 65.052. GENERAL POWERS AND DUTIES OF COMMISSION RELATED TO...

Section 65.053. Pharmacy Benefit Manager Contract, Monitoring, and Reporting Requirements - Sec. 65.053. PHARMACY BENEFIT MANAGER CONTRACT, MONITORING, AND REPORTING REQUIREMENTS....

Section 65.054. Contract Functions - Sec. 65.054. CONTRACT FUNCTIONS. (a) The commission may contract with...

Section 65.055. Community Outreach Campaign - Sec. 65.055. COMMUNITY OUTREACH CAMPAIGN. The commission shall conduct or...

Subchapter C. Trust Fund; Program Suspension

Section 65.101. Establishment of Fund - Sec. 65.101. ESTABLISHMENT OF FUND. (a) A trust fund is...

Section 65.102. Sufficient Funding Required - Sec. 65.102. SUFFICIENT FUNDING REQUIRED. Notwithstanding any other provision of...

Section 65.103. Suspension of Program - Sec. 65.103. SUSPENSION OF PROGRAM. On the fourth anniversary of...

Subchapter D. Program Eligibility and Enrollee Requirements

Section 65.151. Eligibility Criteria - Sec. 65.151. ELIGIBILITY CRITERIA. (a) Except as provided by Subsection...

Section 65.152. Cost Sharing - Sec. 65.152. COST SHARING. (a) To the extent necessary, the...

Subchapter E. Operation of Program

Section 65.201. Program Benefits - Sec. 65.201. PROGRAM BENEFITS. The commission must approve program benefits...

Section 65.202. Reporting - Sec. 65.202. REPORTING. (a) A third-party administrator, pharmacy benefit manager,...

Section 65.203. Fraud Prevention - Sec. 65.203. FRAUD PREVENTION. The executive commissioner by rule shall...

Section 65.204. Annual Program Reports - Sec. 65.204. ANNUAL PROGRAM REPORTS. Not later than December 1...

Chapter 75 - Regional or Local Health Care Programs for Employees of Small Employers

Subchapter A. General Provisions

Section 75.001. Purpose - Sec. 75.001. PURPOSE. The purpose of this chapter is to:...

Section 75.002. Definitions - Sec. 75.002. DEFINITIONS. In this chapter: (1) "Employee" means an...

Subchapter B. Regional or Local Health Care Program

Section 75.051. Establishment of Program; Multicounty Cooperation - Sec. 75.051. ESTABLISHMENT OF PROGRAM; MULTICOUNTY COOPERATION. (a) The commissioners...

Section 75.052. Governance of Program - Sec. 75.052. GOVERNANCE OF PROGRAM. (a) A regional health care...

Section 75.053. Operation of Program - Sec. 75.053. OPERATION OF PROGRAM. A regional or local health...

Section 75.054. Participation by Small Employers; Share of Cost - Sec. 75.054. PARTICIPATION BY SMALL EMPLOYERS; SHARE OF COST. Subject...

Section 75.055. Additional Funding - Sec. 75.055. ADDITIONAL FUNDING. (a) A governing body may accept...

Subchapter C. Health Care Services and Benefits

Section 75.101. Alternative Programs Authorized; Program Objectives - Sec. 75.101. ALTERNATIVE PROGRAMS AUTHORIZED; PROGRAM OBJECTIVES. In developing a...

Section 75.102. Health Benefit Plan Coverage - Sec. 75.102. HEALTH BENEFIT PLAN COVERAGE. (a) A regional or...

Section 75.103. Other Health Benefit Plans or Programs - Sec. 75.103. OTHER HEALTH BENEFIT PLANS OR PROGRAMS. To the...

Section 75.104. Health Care Services - Sec. 75.104. HEALTH CARE SERVICES. (a) A regional or local...

Subchapter D. Texas Health Opportunity Pool Funds

Section 75.151. Definition - Sec. 75.151. DEFINITION. In this subchapter, "health opportunity pool trust...

Section 75.152. Funding Authorized - Sec. 75.152. FUNDING AUTHORIZED. Notwithstanding any other law, a regional...

Section 75.153. Eligibility for Funds; Statewide Eligibility Criteria - Sec. 75.153. ELIGIBILITY FOR FUNDS; STATEWIDE ELIGIBILITY CRITERIA. To be...

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Texas Statutes Title 2 - Health Subtitle C - Programs Providing Health Care Benefits and Services

Texas Statutes
Title 2 - Health
Subtitle C - Programs Providing Health Care Benefits and Services