HEALTH & SAFETY CODE
CHAPTER 63. HEALTH BENEFITS PLAN FOR CERTAIN CHILDREN
§ 63.001. DEFINITION. In this chapter, "commission"
means the Health and Human Services Commission.
Added by Acts 1999, 76th Leg., ch. 235, § 1, eff. Aug. 30, 1999.
§ 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, § 1, eff. Aug. 30, 1999.
§ 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, § 1, eff. Aug. 30, 1999.
§ 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, § 1, eff. Aug. 30, 1999.
§ 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, § 1, eff. Aug. 30, 1999.
§ 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, § 1, eff. Aug. 30, 1999.
§ 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, § 1, eff. Aug. 30, 1999.
