Section 843.3042 - Chiropractic Services(a) A health maintenance organization offering a health care plan that covers a service that is within the scope of a chiropractor's license may not refuse to provide reimbursement to an in-network chiropractor for the performance of the covered service solely because the service is provided by a chiropractor.(b) This section does not require a health maintenance organization to cover a particular health care service.(c) This section does not affect the right of a health maintenance organization to determine whether a health care service is medically necessary.(d) A health maintenance organization that violates this section is subject to an administrative penalty as provided by Chapter 84 of not more than $1,000 for each claim that remains unpaid in violation of this section. Each day the violation continues constitutes a separate violation.Tex. Ins. Code § 843.3042
Added by Acts 2019, Texas Acts of the 86th Leg.- Regular Session, ch. 116,Sec. 1, eff. 9/1/2019. See Acts 2019, Texas Acts of the 86th Leg.- Regular Session, ch. 116, Sec. 4.