{"data":{"id":"us-tx/tex.-insurance-code-1271.156","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1271.156","heading":"BENEFITS FOR REHABILITATION SERVICES AND THERAPIES.","body":"(a) If benefits are provided for rehabilitation services and therapies under an evidence of coverage, the provision of a rehabilitation service or therapy that, in the opinion of a physician, is medically necessary may not be denied, limited, or terminated if the service or therapy meets or exceeds treatment goals for the enrollee.\n(b) For an enrollee with a physical disability, treatment goals may include maintenance of functioning or prevention of or slowing of further deterioration.\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE C. MANAGED CARE","CHAPTER 1271. BENEFITS PROVIDED BY HEALTH MAINTENANCE ORGANIZATIONS; EVIDENCE OF COVERAGE; CHARGES","SUBCHAPTER D. CERTAIN BENEFITS REQUIRED"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1271.htm#1271.156","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"e7b7c66ab4c89cced02bb9753c118655531c4cd9651a57757e9eb566b1a4e5f2","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1271.155","next":"us-tx/tex.-insurance-code-1271.157"},"notice":"GroundRules: Original legal text. Not legal advice."}