{"data":{"id":"us-tx/tex.-insurance-code-1301.0041","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1301.0041","heading":"APPLICABILITY.","body":"(a) Except as otherwise specifically provided by this chapter, this chapter applies to each preferred provider benefit plan in which an insurer provides, through the insurer's health insurance policy, for the payment of a level of coverage that is different depending on whether an insured uses a preferred provider or a nonpreferred provider.\n(b) Unless otherwise specified, an exclusive provider benefit plan is subject to this chapter in the same manner as a preferred provider benefit plan.\n(c) This chapter does not apply to:\n(1) the child health plan program under Chapter 62, Health and Safety Code; or\n(2) a Medicaid managed care program under Chapter 540 or 540A, Government Code, as applicable.\nAdded by Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.0271(b), eff. September 1, 2007.\nAdded by Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.0271(b), eff. September 1, 2007.\nAmended by:\nActs 2011, 82nd Leg., R.S., Ch. 288 (H.B. 1772), Sec. 4, eff. September 1, 2011.\nActs 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 2.122, eff. April 1, 2025.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE D. PROVIDER PLANS","CHAPTER 1301. PREFERRED PROVIDER BENEFIT PLANS","SUBCHAPTER A. GENERAL PROVISIONS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm#1301.0041","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"2bb11bf72a51698c6fedb6090fe48e9c3163e641c3d00a903a0bef8b1a72a486","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1301.003","next":"us-tx/tex.-insurance-code-1301.0042"},"notice":"GroundRules: Original legal text. Not legal advice."}