{"data":{"id":"us-tx/tex.-insurance-code-843.3042","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 843.3042","heading":"CHIROPRACTIC SERVICES.","body":"(a) A health maintenance organization offering a health care plan that covers a service that is within the scope of a chiropractor's license may not refuse to provide reimbursement to an in-network chiropractor for the performance of the covered service solely because the service is provided by a chiropractor.\n(b) This section does not require a health maintenance organization to cover a particular health care service.\n(c) This section does not affect the right of a health maintenance organization to determine whether a health care service is medically necessary.\n(d) A health maintenance organization that violates this section is subject to an administrative penalty as provided by Chapter 84 of not more than $1,000 for each claim that remains unpaid in violation of this section. Each day the violation continues constitutes a separate violation.\nAdded by Acts 2019, 86th Leg., R.S., Ch. 116 (S.B. 1739), Sec. 1, eff. September 1, 2019.","path":["INSURANCE CODE","TITLE 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES","SUBTITLE C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES","CHAPTER 843. HEALTH MAINTENANCE ORGANIZATIONS","SUBCHAPTER I. RELATIONS WITH PHYSICIANS AND PROVIDERS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.843.htm#843.3042","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"51a22d593f494513b7f380dfc4634ff15ea08a7bb246cafc555ecafee1e06dcc","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-843.3041","next":"us-tx/tex.-insurance-code-843.3045"},"notice":"GroundRules: Original legal text. Not legal advice."}