Tex. Ins. Code Section 1507.053
State-mandated Health Benefits

(a)

For purposes of this subchapter, “state-mandated health benefits” means coverage required under this code or other laws of this state to be provided in an evidence of coverage that:

(1)

includes coverage for specific health care services or benefits;

(2)

places limitations or restrictions on deductibles, coinsurance, copayments, or any annual or lifetime maximum benefit amounts, including limitations provided in Section 1271.151 (Provision of Basic Health Care Services); or

(3)

includes a specific category of licensed health care practitioner from whom an enrollee is entitled to receive care.

(b)

For purposes of this subchapter, “state-mandated health benefits” does not include coverage that is mandated by federal law or standard provisions or rights required under this code or other laws of this state to be provided in an evidence of coverage that are unrelated to a specific health illness, injury, or condition of an enrollee, including provisions related to:

(1)

continuation of coverage under Subchapter G (Continuation of Group Coverage), Chapter 1251 (Group and Blanket Health Insurance);

(2)

termination of coverage under Sections 1202.051 (Renewability and Continuation of Individual Health Insurance Policies) and 1501.108 (Renewability of Coverage; Cancellation);

(3)

preexisting conditions under Subchapter D (Compliance with Subchapter; Prohibition of Defense), Chapter 1201 (Accident and Health Insurance), and Sections 1501.102-1501.105;

(4)

coverage of children, including newborn or adopted children, under:

(A)

Chapter 1504 (Medical and Dental Child Support);

(B)

Chapter 1503 (Coverage of Certain Students);