Texas § 62.151 CHILD HEALTH PLAN COVERAGE.

Texas Statutes

§ 62.151 — CHILD HEALTH PLAN COVERAGE.

Texas § 62.151

Code HSHealth and Safety Code

This text of Texas § 62.151 (CHILD HEALTH PLAN COVERAGE.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Health and Safety Code Code Ann. § 62.151 (2026).

Text

Sec. 62.151. CHILD HEALTH PLAN COVERAGE.

(a)The child health plan must comply with this chapter and the coverage requirements prescribed by 42 U.S.C. Section 1397cc, as amended, and any other applicable law or regulations.

(b)In modifying the covered benefits, the executive commissioner shall consider the health care needs of healthy children and children with special health care needs.

(c)In modifying the plan, the executive commissioner shall ensure that primary and preventive health benefits do not include reproductive services, other than prenatal care and care related to diseases, illnesses, or abnormalities related to the reproductive system.

(d)The child health plan must allow an enrolled child with a chronic, disabling, or life-threatening illness to select an appropriate speci

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Sec. 62.151. CHILD HEALTH PLAN COVERAGE. (a) The child health plan must comply with this chapter and the coverage requirements prescribed by 42 U.S.C. Section 1397cc, as amended, and any other applicable law or regulations.
(b) In modifying the covered benefits, the executive commissioner shall consider the health care needs of healthy children and children with special health care needs.
(c) In modifying the plan, the executive commissioner shall ensure that primary and preventive health benefits do not include reproductive services, other than prenatal care and care related to diseases, illnesses, or abnormalities related to the reproductive system.
(d) The child health plan must allow an enrolled child with a chronic, disabling, or life-threatening illness to select an appropriate specialist as a primary care physician.
(e) Repealed by Acts 2015, 84th Leg., R.S., Ch. 837 (S.B. 200), Sec. 3.40(b)(2), and Ch. 946 (S.B. 277), Sec. 2.37(c)(2), eff. January 1, 2016.
(f) If the executive commissioner determines the policy to be cost-effective, the executive commissioner may ensure that an enrolled child does not, unless authorized by the commission in consultation with the child's attending physician or advanced practice nurse, receive under the child health plan:
(1) more than four different outpatient brand-name prescription drugs during a month; or
(2) more than a 34-day supply of a brand-name prescription drug at any one time.
(g) The child health plan may not provide coverage for services prohibited by Section 161.702 that are intended to transition a child's biological sex as determined by the child's sex organs, chromosomes, and endogenous profiles.

State of Texas Office of the Attorney General of the State of Texas Texas Medical Board Texas Health and Human Services Commission And Ken Paxton, in His Official Capacity as Attorney General of the State of Texas v. Lazaro Loe, Individually and as Next Friend of Luna Loe, a Minor Mary Moe and Matthew Moe, Individually and as Next Friends of Maeve Moe, a Minor Nora Noe, Individually and as Next Friend of Nathan Noe, a Minor Sarah Soe and Steven Soe, Individually and as Next Friends of Samantha Soe, a Minor Gina Goe, Individually and as Next Friend of Grayson Goe, a Minor Pflag, Inc. Richard Ogden Roberts III, M.D. David L. Paul, M.D. Patrick W. O'malley, M.D. And American Association of Physicians for Human

(Texas Supreme Court, 2024)

Legislative History

Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. Aug. 30, 1999. Amended by Acts 2003, 78th Leg., ch. 198, Sec. 2.49, eff. Sept. 1, 2003. Amended by: Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219 ), Sec. 3.0202, eff. April 2, 2015. Acts 2015, 84th Leg., R.S., Ch. 837 (S.B. 200 ), Sec. 3.40(b)(2), eff. January 1, 2016. Acts 2015, 84th Leg., R.S., Ch. 946 (S.B. 277 ), Sec. 2.37(c)(2), eff. January 1, 2016. Acts 2023, 88th Leg., R.S., Ch. 335 (S.B. 14 ), Sec. 1, eff. September 1, 2023.