28 Tex. Admin. Code § 21.2403

Current through Reg. 49, No. 44; November 1, 2024

Section 21.2403 - Coordination of Statutory Language

Restrictions on coverage limitations. If a provision of the Insurance Code or Texas Department of Insurance regulations allows a health benefit plan issuer to place quantitative or nonquantitative treatment limitations on coverage for mental health and substance use disorder conditions, an issuer may apply the limitation only to the extent that the limitation does not violate the parity requirements of Insurance Code Chapter 1355, Subchapter F, concerning Coverage for Mental Health Conditions and Substance Use Disorders, and this subchapter.

The provisions of this §21.2403 adopted to be effective January 31, 1999, 24 TexReg 393; amended to be effective March 2, 2011, 36 TexReg 1291; Adopted by Texas Register, Volume 46, Number 36, September 3, 2021, TexReg 5579, eff. 9/7/2021