{"data":{"id":"us-tx/tex.-insurance-code-1451.503","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1451.503","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), as amended;\n(3) a workers' compensation insurance policy;\n(4) medical payment insurance coverage provided under a motor vehicle insurance policy;\n(5) 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 1451.502;\n(6) the child health plan program under Chapter 62, Health and Safety Code, or the health benefits plan for children under Chapter 63, Health and Safety Code; or\n(7) a Medicaid managed care program operated under Chapter 540 or 540A, Government Code, as applicable, or a Medicaid program operated under Chapter 32, Human Resources Code.\nAdded by Acts 2015, 84th Leg., R.S., Ch. 1038 (H.B. 1624), Sec. 2, eff. September 1, 2015.\nAmended by:\nActs 2023, 88th Leg., R.S., Ch. 769 (H.B. 4611), Sec. 2.133, eff. April 1, 2025.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE F. PHYSICIANS AND HEALTH CARE PROVIDERS","CHAPTER 1451. ACCESS TO CERTAIN PRACTITIONERS AND FACILITIES","SUBCHAPTER K. HEALTH CARE PROVIDER DIRECTORIES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1451.htm#1451.503","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"831fb648126b6ac132db7532c289e30f3319767320a0a79df63dcf7b9bb1b811","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1451.502","next":"us-tx/tex.-insurance-code-1451.504"},"notice":"GroundRules: Original legal text. Not legal advice."}