{"data":{"id":"us-tx/tex.-insurance-code-1369.303","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1369.303","heading":"EXCEPTION.","body":"This subchapter does not apply to:\n(1) a health benefit plan that provides coverage:\n(A) only for a specified disease or for another single benefit;\n(B) only for accidental death or dismemberment;\n(C) for wages or payments in lieu of wages for a period during which an employee is absent from work because of sickness or injury;\n(D) as a supplement to a liability insurance policy;\n(E) for credit insurance;\n(F) only for dental or vision care;\n(G) only for hospital expenses; or\n(H) only for indemnity for hospital confinement;\n(2) a Medicare supplemental policy as defined by Section 1882(g)(1), Social Security Act (42 U.S.C. Section 1395ss);\n(3) medical payment insurance coverage provided under a motor vehicle insurance policy;\n(4) a long-term care insurance policy, including a nursing home fixed indemnity policy, unless the commissioner determines that the policy provides benefit coverage so comprehensive that the policy is a health benefit plan as described by Section 1369.302;\n(5) health and accident coverage provided by a risk pool created under Chapter 172, Local Government Code; or\n(6) a workers' compensation insurance policy.\nAdded by Acts 2013, 83rd Leg., R.S., Ch. 1328 (S.B. 644), Sec. 1, eff. September 1, 2013.\nRedesignated from Insurance Code, Section 1369.253 by Acts 2015, 84th Leg., R.S., Ch. 1236 (S.B. 1296), Sec. 21.001(38), eff. September 1, 2015.\nAmended by:\nActs 2015, 84th Leg., R.S., Ch. 1236 (S.B. 1296), Sec. 21.002(14), eff. September 1, 2015.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES","CHAPTER 1369. BENEFITS RELATED TO PRESCRIPTION DRUGS AND DEVICES AND RELATED SERVICES","SUBCHAPTER G. STANDARD REQUEST FORM FOR PRIOR AUTHORIZATION OF PRESCRIPTION DRUG BENEFITS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1369.htm#1369.303","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"1f05969a1444847a623c9bd023ffebfa23eb6c80e90b7ca28054d4c86f7308c1","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1369.302","next":"us-tx/tex.-insurance-code-1369.304"},"notice":"GroundRules: Original legal text. Not legal advice."}