{"data":{"id":"us-tx/tex.-insurance-code-1379.054","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1379.054","heading":"LIMITATIONS ON COVERAGE.","body":"(a) Notwithstanding Section 1379.053, this chapter does not require a health benefit plan issuer to provide benefits for routine patient care services provided outside of the plan's health care provider network unless out-of-network benefits are otherwise provided under the plan.\n(b) This chapter does not require a health benefit plan issuer to provide benefits for health care services provided outside this state unless the health benefit plan otherwise provides benefits for health care services provided outside this state.\nAdded by Acts 2009, 81st Leg., R.S., Ch. 719 (S.B. 39), 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 1379. COVERAGE FOR ROUTINE PATIENT CARE COSTS FOR ENROLLEES PARTICIPATING IN CERTAIN CLINICAL TRIALS","SUBCHAPTER B. COVERAGE FOR ROUTINE PATIENT CARE COSTS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1379.htm#1379.054","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"77a57773c3fb2759a55fe2de996b560d36ed7af1ad4a1815c31b45238c078c3e","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1379.053","next":"us-tx/tex.-insurance-code-1379.055"},"notice":"GroundRules: Original legal text. Not legal advice."}