{"data":{"id":"us-tx/tex.-insurance-code-1376.003","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1376.003","heading":"MINIMUM COVERAGE REQUIRED.","body":"(a) A health benefit plan that provides coverage for screening medical procedures must provide the minimum coverage required by this section to each covered individual:\n(1) who is:\n(A) a male older than 45 years of age and younger than 76 years of age; or\n(B) a female older than 55 years of age and younger than 76 years of age; and\n(2) who:\n(A) is diabetic; or\n(B) has a risk of developing coronary heart disease, based on a score derived using the Framingham Heart Study coronary prediction algorithm, that is intermediate or higher.\n(b) The minimum coverage required to be provided under this section is coverage of up to $200 for one of the following noninvasive screening tests for atherosclerosis and abnormal artery structure and function every five years, performed by a laboratory that is certified by a national organization recognized by the commissioner by rule for the purposes of this section:\n(1) computed tomography (CT) scanning measuring coronary artery calcification; or\n(2) ultrasonography measuring carotid intima-media thickness and plaque.\nAdded by Acts 2009, 81st Leg., R.S., Ch. 1270 (H.B. 1290), Sec. 1, eff. September 1, 2009.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES","CHAPTER 1376. CERTAIN TESTS FOR EARLY DETECTION OF CARDIOVASCULAR DISEASE"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1376.htm#1376.003","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"49442f3d1e7e2dca36a06132b4bda51976fcd96f047c30ebeb210a33f0d207ae","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1376.002","next":"us-tx/tex.-insurance-code-1377.001"},"notice":"GroundRules: Original legal text. Not legal advice."}