Tex. Insurance Code § 1367.103
COVERAGE REQUIRED
Texas · Texas Insurance Code · Status: effective
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- Citation
- Tex. Insurance Code § 1367.103, COVERAGE REQUIRED, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/682114
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Full text
(a) A health benefit plan that provides coverage for a family member of an insured or enrollee shall provide to each covered child coverage for:
(1) a screening test for hearing loss from birth through the date the child is 30 days of age, as provided by Chapter 47, Health and Safety Code; and
(2) necessary diagnostic follow-up care related to the screening test from birth through the date the child is 24 months of age.
(b) For purposes of Subsection (a), a covered child is a child who, as a result of the child's relationship to an insured or enrollee in a health benefit plan, would be entitled to coverage under an accident and health insurance policy under Section 1201.061, 1201.062, 1201.063, or 1201.064.
(c) This section does not require a health benefit plan to provide the coverage described by this section to a child of an individual residing in this state if the individual is:
(1) employed outside this state; and
(2) covered under a health benefit plan maintained for the individual by the individual's employer as an employment benefit.