Texas § 1575.164 DISEASE MANAGEMENT SERVICES.

Texas Statutes

§ 1575.164 — DISEASE MANAGEMENT SERVICES.

Texas § 1575.164

Code INInsurance Code

This text of Texas § 1575.164 (DISEASE MANAGEMENT SERVICES.) 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. Insurance Code Code Ann. § 1575.164 (2026).

Text

Sec. 1575.164. DISEASE MANAGEMENT SERVICES.

(a)In this section, "disease management services" means services to assist an individual manage a disease or other chronic health condition, such as heart disease, diabetes, respiratory illness, end-stage renal disease, HIV infection, or AIDS, and with respect to which the Teacher Retirement System of Texas identifies populations requiring disease management.

(b)A health benefit plan provided under this chapter, other than a Medicare Advantage plan or a Medicare prescription drug plan, must provide disease management services or coverage for disease management services in the manner required by the Teacher Retirement System of Texas, including:

(1)patient self-management education;

(2)provider education;

(3)evidence-based models and minimum

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Sec. 1575.164. DISEASE MANAGEMENT SERVICES. (a) In this section, "disease management services" means services to assist an individual manage a disease or other chronic health condition, such as heart disease, diabetes, respiratory illness, end-stage renal disease, HIV infection, or AIDS, and with respect to which the Teacher Retirement System of Texas identifies populations requiring disease management.
(b) A health benefit plan provided under this chapter, other than a Medicare Advantage plan or a Medicare prescription drug plan, must provide disease management services or coverage for disease management services in the manner required by the Teacher Retirement System of Texas, including:
(1) patient self-management education;
(2) provider education;
(3) evidence-based models and minimum standards of care;
(4) standardized protocols and participation criteria; and
(5) physician-directed or physician-supervised care.

Legislative History

Added by Acts 2003, 78th Leg., ch. 589, Sec. 4, eff. June 20, 2003. Renumbered from Insurance Code, Section 1575.162 by Acts 2005, 79th Leg., Ch. 728 (H.B. 2018 ), Sec. 23.001(62), eff. September 1, 2005. Amended by: Acts 2017, 85th Leg., R.S., Ch. 712 (H.B. 3976 ), Sec. 16, eff. September 1, 2017.