reglab/housing_qa huggingface dataset:
TX Ins Code § 1451.105 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.105. Selection of Acupuncturist

Sec. 1451.105.  SELECTION OF ACUPUNCTURIST.  An insured may select an acupuncturist to provide the services or procedures scheduled in the health insurance policy that are within the scope of the acupuncturist's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.106 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.106. Selection of Advanced Practice Nurse

Sec. 1451.106.  SELECTION OF ADVANCED PRACTICE NURSE.  An insured may select an advanced practice nurse to provide the services scheduled in the health insurance policy that are within the scope of the nurse's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.107 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.107. Selection of Audiologist

Sec. 1451.107.  SELECTION OF AUDIOLOGIST.  An insured may select an audiologist to measure hearing to determine the presence or extent of the insured's hearing loss or provide aural rehabilitation services to the insured if the insured has a hearing loss and the services or procedures are scheduled in the health insurance policy.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.108 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.108. Selection of Chemical Dependency Counselor

Sec. 1451.108.  SELECTION OF CHEMICAL DEPENDENCY COUNSELOR.  An insured may select a chemical dependency counselor to provide services or procedures scheduled in the health insurance policy that are within the scope of the counselor's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.109 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.109. Selection of Chiropractor

Sec. 1451.109.  SELECTION OF CHIROPRACTOR.  (a)  An insured may select a chiropractor to provide the medical or surgical services or procedures scheduled in the health insurance policy that are within the scope of the chiropractor's license.(b)  If physical modalities and procedures are covered services under a health insurance policy and within the scope of the license of a chiropractor and one or more other type of practitioner, a health insurance policy issuer may not:(1)  deny payment or reimbursement for physical modalities and procedures provided by a chiropractor if:(A)  the chiropractor provides the modalities and procedures in strict compliance with state law; and(B)  the health insurance policy issuer allows payment or reimbursement for the same physical modalities and procedures performed by another type of practitioner that an insured may select under this subchapter;(2)  make payment or reimbursement for particular covered physical modalities and procedures within the scope of a chiropractor's license contingent on treatment or examination by a practitioner that is not a chiropractor; or(3)  establish other limitations on the provision of covered physical modalities and procedures that would prohibit an insured from seeking the covered physical modalities and procedures from a chiropractor to the same extent that the insured may obtain covered physical modalities and procedures from another type of practitioner.(c)  Nothing in this section requires a health insurance policy issuer to cover particular services or affects the ability of a health insurance policy issuer to determine whether specific procedures for which payment or reimbursement is requested are medically necessary.(d)  This section does not apply to:(1)  workers' compensation insurance coverage as defined by Section 401.011, Labor Code;(2)  a self-insured employee welfare benefit plan subject to the Employee Retirement Income Security Act of 1974 (29 U.S.C. Section 1001 et seq.);(3)  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(4)  a Medicaid managed care program operated under Chapter 533, Government Code, or a Medicaid program operated under Chapter 32, Human Resources Code.(e)  A health insurance policy issuer 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.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.Amended by: Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 11.01, eff. September 28, 2011.Acts 2019, 86th Leg., R.S., Ch. 116 (S.B. 1739), Sec. 3, eff. September 1, 2019.|
TX Ins Code § 1451.110 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.110. Selection of Dentist

Sec. 1451.110.  SELECTION OF DENTIST.  An insured may select a dentist to provide the medical or surgical services or procedures scheduled in the health insurance policy that are within the scope of the dentist's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.111 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.111. Selection of Dietitian

Sec. 1451.111.  SELECTION OF DIETITIAN.  An insured may select a licensed dietitian or a provisionally licensed dietitian acting under the supervision of a licensed dietitian to provide the services scheduled in the health insurance policy that are within the scope of the dietitian's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.112 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.112. Selection of Hearing Instrument Fitter and Dispenser

Sec. 1451.112.  SELECTION OF HEARING INSTRUMENT FITTER AND DISPENSER.  An insured may select a hearing instrument fitter and dispenser to provide the services or procedures scheduled in the health insurance policy that are within the scope of the license of the fitter and dispenser.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.113 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.113. Selection of Licensed Clinical Social Worker

Sec. 1451.113.  SELECTION OF LICENSED CLINICAL SOCIAL WORKER.  An insured may select a licensed clinical social worker to provide the services or procedures scheduled in the health insurance policy that:(1)  are within the scope of the social worker's license, including the provision of direct, diagnostic, preventive, or clinical services to individuals, families, and groups whose functioning is threatened or affected by social or psychological stress or health impairment; and(2)  are specified as services under the terms of the health insurance policy.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.Amended by: Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.042(a), eff. September 1, 2005.|
TX Ins Code § 1451.114 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.114. Selection of Licensed Professional Counselor

Sec. 1451.114.  SELECTION OF LICENSED PROFESSIONAL COUNSELOR.  An insured may select a licensed professional counselor to provide the services scheduled in the health insurance policy that are within the scope of the counselor's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.Amended by: Acts 2009, 81st Leg., R.S., Ch. 221 (S.B. 1291), Sec. 1, eff. September 1, 2009.|
TX Ins Code § 1451.115 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.115. Selection of Surgical Assistant

Sec. 1451.115.  SELECTION OF SURGICAL ASSISTANT.  An insured may select a surgical assistant to provide the services or procedures scheduled in the health insurance policy that are within the scope of the assistant's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.116 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.116. Selection of Marriage and Family Therapist

Sec. 1451.116.  SELECTION OF MARRIAGE AND FAMILY THERAPIST.  An insured may select a marriage and family therapist to provide the services scheduled in the health insurance policy that are within the scope of the therapist's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.Amended by: Acts 2009, 81st Leg., R.S., Ch. 221 (S.B. 1291), Sec. 2, eff. September 1, 2009.|
TX Ins Code § 1451.117 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.117. Selection of Nurse First Assistant

Sec. 1451.117.  SELECTION OF NURSE FIRST ASSISTANT.  An insured may select a nurse first assistant to provide the services scheduled in the health insurance policy that:(1)  are within the scope of the nurse's license;  and(2)  are requested by the physician whom the nurse is assisting.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.118 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.118. Selection of Occupational Therapist

Sec. 1451.118.  SELECTION OF OCCUPATIONAL THERAPIST.  An insured may select an occupational therapist to provide the services scheduled in the health insurance policy that are within the scope of the therapist's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.119 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.119. Selection of Optometrist

Sec. 1451.119.  SELECTION OF OPTOMETRIST.  An insured may select an optometrist to provide the services or procedures scheduled in the health insurance policy that are within the scope of the optometrist's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.120 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.120. Selection of Physical Therapist

Sec. 1451.120.  SELECTION OF PHYSICAL THERAPIST.  An insured may select a physical therapist to provide the services scheduled in the health insurance policy that are within the scope of the therapist's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.121 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.121. Selection of Physician Assistant

Sec. 1451.121.  SELECTION OF PHYSICIAN ASSISTANT.  An insured may select a physician assistant to provide the services scheduled in the health insurance policy that are within the scope of the assistant's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.122 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.122. Selection of Podiatrist

Sec. 1451.122.  SELECTION OF PODIATRIST.  An insured may select a podiatrist to provide the medical or surgical services or procedures scheduled in the health insurance policy that are within the scope of the podiatrist's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.123 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.123. Selection of Psychological Associate

Sec. 1451.123.  SELECTION OF PSYCHOLOGICAL ASSOCIATE.  An insured may select a psychological associate to provide the services scheduled in the health insurance policy that are within the scope of the associate's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.124 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.124. Selection of Psychologist

Sec. 1451.124.  SELECTION OF PSYCHOLOGIST.  An insured may select a psychologist to provide the services or procedures scheduled in the health insurance policy that are within the scope of the psychologist's license.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.125 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.125. Selection of Speech-Language Pathologist

Sec. 1451.125.  SELECTION OF SPEECH-LANGUAGE PATHOLOGIST.  An insured may select a speech-language pathologist to evaluate speech or language, provide habilitative or rehabilitative services to restore speech or language loss, or correct a speech or language impairment if the services or procedures are scheduled in the health insurance policy.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.126 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.126. Reimbursement for Physical Modalities and Procedures by Health Insurer, Administrator, Health Maintenance Organization, or Preferred Provider Benefit Plan Issuer

Sec. 1451.126.  REIMBURSEMENT FOR PHYSICAL MODALITIES AND PROCEDURES BY HEALTH INSURER, ADMINISTRATOR, HEALTH MAINTENANCE ORGANIZATION, OR PREFERRED PROVIDER BENEFIT PLAN ISSUER.  (a)  A health insurer or licensed third-party administrator may not deny reimbursement to a health care practitioner for the provision of covered services of physical modalities and procedures that are within the scope of the practitioner's practice if the services are performed in strict compliance with:(1)  laws and rules related to that practitioner's license;  and(2)  the terms of the insurance policy or other coverage agreement.(b)  A health maintenance organization or preferred provider benefit plan issuer may not deny reimbursement to a participating health care practitioner for services provided under a coverage agreement solely because of the type of practitioner providing the services if the services are performed in strict compliance with:(1)  laws and rules related to that practitioner's license;  and(2)  the terms of the insurance policy or other coverage agreement.(c)  This section may not be construed to circumvent any contractual provider network agreement between a health insurer or third-party administrator and a licensed health care practitioner.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.127 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.127. Duty of Person Arranging Provider Contracts for Health Insurer or Health Maintenance Organization

Sec. 1451.127.  DUTY OF PERSON ARRANGING PROVIDER CONTRACTS FOR HEALTH INSURER OR HEALTH MAINTENANCE ORGANIZATION.  (a)  A person who arranges contracts with providers on behalf of a health maintenance organization or health insurer shall comply with laws related to the duties of the organization or insurer to notify and consider providers for those contracts.(b)  A violation of this section:(1)  is an unlawful practice under Section 15.05, Business & Commerce Code;  and(2)  constitutes restraint of trade.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.128 (2021)
2021 Texas Statutes|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 C. Selection of Practitioners|Section 1451.128. Selection of Pharmacist

Sec. 1451.128.  SELECTION OF PHARMACIST.  An insured may select a pharmacist to provide the services scheduled in the health insurance policy that are within the scope of the pharmacist's license to practice pharmacy under Subtitle J, Title 3, Occupations Code.|Added by Acts 2019, 86th Leg., R.S., Ch. 281 (H.B. 1757), Sec. 2, eff. September 1, 2019.|
TX Ins Code § 1451.151 (2021)
2021 Texas Statutes|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 D. Access to Optometrists and Ophthalmologists Used Under Managed Care Plan|Section 1451.151. Definitions

Sec. 1451.151.  DEFINITIONS.  In this subchapter:(1)  "Managed care plan" means a plan under which a health maintenance organization, preferred provider benefit plan issuer, or other organization provides or arranges for health care benefits to plan participants and requires or encourages plan participants to use health care practitioners the plan designates.(2)  "Ophthalmologist" means a physician who specializes in ophthalmology.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.152 (2021)
2021 Texas Statutes|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 D. Access to Optometrists and Ophthalmologists Used Under Managed Care Plan|Section 1451.152. Applicability and Construction of Subchapter

Sec. 1451.152.  APPLICABILITY AND CONSTRUCTION OF SUBCHAPTER.  (a)  This subchapter applies only to a managed care plan that provides or arranges for benefits for vision or medical eye care services or procedures that are within the scope of an optometrist's or therapeutic optometrist's license.(b)  This subchapter does not require a managed care plan to provide vision or medical eye care services or procedures.|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.|
TX Ins Code § 1451.153 (2021)
2021 Texas Statutes|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 D. Access to Optometrists and Ophthalmologists Used Under Managed Care Plan|Section 1451.153. Use of Optometrist, Therapeutic Optometrist, or Ophthalmologist

Sec. 1451.153.  USE OF OPTOMETRIST, THERAPEUTIC OPTOMETRIST, OR OPHTHALMOLOGIST.  (a)  A managed care plan may not:(1)  discriminate against a health care practitioner because the practitioner is an optometrist, therapeutic optometrist, or ophthalmologist;(2)  restrict or discourage a plan participant from obtaining covered vision or medical eye care services or procedures from a participating optometrist, therapeutic optometrist, or ophthalmologist solely because the practitioner is an optometrist, therapeutic optometrist, or ophthalmologist;(3)  exclude an optometrist, therapeutic optometrist, or ophthalmologist as a participating practitioner in the plan because the optometrist, therapeutic optometrist, or ophthalmologist does not have medical staff privileges at a hospital or at a particular hospital;(4)  exclude an optometrist, therapeutic optometrist, or ophthalmologist as a participating practitioner in the plan because the services or procedures provided by the optometrist, therapeutic optometrist, or ophthalmologist may be provided by another type of health care practitioner; or(5)  as a condition for a therapeutic optometrist or ophthalmologist to be included in one or more of the plan's medical panels, require the therapeutic optometrist or ophthalmologist to be included in, or to accept the terms of payment under or for, a particular vision panel in which the therapeutic optometrist or ophthalmologist does not otherwise wish to be included.(b)  A managed care plan shall:(1)  include optometrists, therapeutic optometrists, and ophthalmologists as participating health care practitioners in the plan; and(2)  include the name of a participating optometrist, therapeutic optometrist, or ophthalmologist in any list of participating health care practitioners and give equal prominence to each name.(c)  For the purposes of Subsection (a)(5), "medical panel" and "vision panel" have the meanings assigned by Section 1451.154(a).|Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.Amended by: Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.043, eff. September 1, 2005.Acts 2011, 82nd Leg., R.S., Ch. 1147 (H.B. 1951), Sec. 12.001, eff. September 1, 2011.|