2005 Texas Insurance Code CHAPTER 1359. FORMULAS FOR INDIVIDUALS WITH PHENYLKETONURIA OR OTHER HERITABLE DISEASES

INSURANCE CODE

CHAPTER 1359. FORMULAS FOR INDIVIDUALS WITH PHENYLKETONURIA OR 
OTHER HERITABLE DISEASES


	§ 1359.001. DEFINITIONS.  In this chapter:                                  
		(1)  "Heritable disease" means an inherited disease 
that may result in mental or physical retardation or death.
		(2)  "Phenylketonuria" means an inherited condition 
that, if not treated, may cause severe mental retardation.

Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005.          


	§ 1359.002. APPLICABILITY OF CHAPTER.  This chapter 
applies only to a group health benefit plan that is a group policy, 
contract, or certificate of health insurance or an evidence of 
coverage delivered, issued for delivery, or renewed in this state 
by:
		(1)  an insurance company;                                                    
		(2)  a group hospital service corporation operating 
under Chapter 842;  or  
		(3)  a health maintenance organization operating under 
Chapter 843.         

Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005.          


	§ 1359.003. COVERAGE REQUIRED.  (a) A group health 
benefit plan must provide coverage for formulas necessary to treat 
phenylketonuria or a heritable disease.
	(b)  The group health benefit plan must provide the coverage 
to the same extent that the plan provides coverage for drugs that 
are available only on the orders of a physician.

Added by Acts 2003, 78th Leg., ch. 1274, § 3, eff. April 1, 2005.