CHAPTER 63. HEALTH BENEFITS PLAN FOR CERTAIN CHILDREN
HEALTH AND SAFETY CODE
TITLE 2. HEALTH
SUBTITLE C. PROGRAMS PROVIDING HEALTH CARE BENEFITS AND SERVICES
CHAPTER 63. HEALTH BENEFITS PLAN FOR CERTAIN CHILDREN
Sec. 63.001. DEFINITION. In this chapter, "commission" means
the Health and Human Services Commission.
Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. Aug. 30,
1999.
Sec. 63.002. NOT AN ENTITLEMENT. This chapter does not
establish an entitlement to assistance in obtaining health
benefits for a child.
Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. Aug. 30,
1999.
Sec. 63.003. HEALTH BENEFITS PLAN COVERAGE FOR CERTAIN CHILDREN.
The commission shall develop and implement a program to provide
health benefits plan coverage for a child who:
(1) is a qualified alien, as that term is defined by 8 U.S.C.
Section 1641(b);
(2) is younger than 19 years of age;
(3) entered the United States after August 22, 1996;
(4) has resided in the United States for less than five years;
and
(5) meets the income eligibility requirement of, but is not
eligible for assistance under:
(A) the child health plan program under Chapter 62; or
(B) the medical assistance program under Chapter 32, Human
Resources Code.
Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. Aug. 30,
1999.
Sec. 63.004. BENEFITS COVERAGE REQUIRED. To the extent
possible, the program required by Section 63.003 must provide
benefits comparable to the benefits provided under the child
health plan program under Chapter 62.
Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. Aug. 30,
1999.
Sec. 63.005. HEALTH BENEFITS PLAN PROVIDER. (a) A health
benefits plan provider under this chapter must:
(1) hold a certificate of authority or other appropriate license
issued by the Texas Department of Insurance that authorizes the
health benefits plan provider to provide the type of coverage to
be offered through the program required by Section 63.003; and
(2) satisfy, except as provided by Subsection (b), any other
applicable requirement of the Insurance Code or another insurance
law of this state.
(b) Except as required by the commission, a health benefits plan
provider under this chapter is not subject to a law that requires
coverage or the offer of coverage of a health care service or
benefit.
Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. Aug. 30,
1999.
Sec. 63.006. COST-SHARING PAYMENTS. (a) Except as provided by
Subsection (b), the commission may not require a child who is
provided health benefits plan coverage under Section 63.003 and
who meets the income eligibility requirement of the medical
assistance program under Chapter 32, Human Resources Code, to pay
a premium, deductible, coinsurance, or other cost-sharing payment
as a condition of health benefits plan coverage under this
chapter.
(b) The commission may require a child described by Subsection
(a) to pay a copayment as a condition of health benefits plan
coverage under this chapter that is equal to any copayment
required under the child health plan program under Chapter 62.
(c) The commission may require a child who is provided health
benefits plan coverage under Section 63.003 and who meets the
income eligibility requirement of the child health plan program
under Chapter 62 to pay a premium, deductible, coinsurance, or
other cost-sharing payment as a condition of health benefits plan
coverage under this chapter. The payment must be equal to any
premium, deductible, coinsurance, or other cost-sharing payment
required under the child health plan program under Chapter 62.
Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. Aug. 30,
1999.
Sec. 63.007. DISALLOWANCE OF MATCHING FUNDS FROM FEDERAL
GOVERNMENT. Expenditures made to provide health benefits plan
coverage under this chapter may not be included for the purpose
of determining the state children's health insurance
expenditures, as that term is defined by 42 U.S.C. Section
1397ee(d)(2)(B), as amended.
Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. Aug. 30,
1999.