Tex. Insurance Code § 38.451
This is the official text of Tex. Insurance Code § 38.451, part of Texas’s Insurance Code — regulates insurance companies and the policies they sell.
Not legal advice. This page reproduces the official text of a government statute for reference only. Laws change, and how a statute applies depends on your specific facts. For advice about your situation, consult a licensed attorney in your state.
§ 38.451. DEFINITIONS.
Official statutory text
In this subchapter:
(1) "Analysis program" means the Health Impact, Cost, and Coverage Analysis Program established under Section 38.452.
(2) "Center" means the Center for Health Care Data at The University of Texas Health Science Center at Houston.
(3) "Enrollee" means an individual who is enrolled in a health benefit plan, including a covered dependent.
(4) "Health benefit plan issuer" means an insurer, health maintenance organization, or other entity authorized to provide health benefits coverage under the laws of this state, including a Medicaid managed care organization. The term does not include an issuer of workers' compensation insurance.
(5) "Health benefits coverage" does not include workers' compensation.
(6) "Health care provider" means a physician, facility, or other person who is licensed, certified, registered, or otherwise authorized to provide a health care service in this state.
(7) "Health care service" means a service, procedure, drug, or device to diagnose, prevent, alleviate, cure, or heal a human disease, injury, or unhealthy or abnormal physical or mental condition, including a service, procedure, drug, or device related to pregnancy or delivery.
(8) "Mandate" means a provision contained in a legislative document that requires a health benefit plan issuer or administrator, with respect to health benefits coverage, to:
(A) provide coverage for a health care service;
(B) increase or decrease payments to health care providers for a health care service; or
(C) implement a new contractual or administrative requirement.
(1) "Analysis program" means the Health Impact, Cost, and Coverage Analysis Program established under Section 38.452.
(2) "Center" means the Center for Health Care Data at The University of Texas Health Science Center at Houston.
(3) "Enrollee" means an individual who is enrolled in a health benefit plan, including a covered dependent.
(4) "Health benefit plan issuer" means an insurer, health maintenance organization, or other entity authorized to provide health benefits coverage under the laws of this state, including a Medicaid managed care organization. The term does not include an issuer of workers' compensation insurance.
(5) "Health benefits coverage" does not include workers' compensation.
(6) "Health care provider" means a physician, facility, or other person who is licensed, certified, registered, or otherwise authorized to provide a health care service in this state.
(7) "Health care service" means a service, procedure, drug, or device to diagnose, prevent, alleviate, cure, or heal a human disease, injury, or unhealthy or abnormal physical or mental condition, including a service, procedure, drug, or device related to pregnancy or delivery.
(8) "Mandate" means a provision contained in a legislative document that requires a health benefit plan issuer or administrator, with respect to health benefits coverage, to:
(A) provide coverage for a health care service;
(B) increase or decrease payments to health care providers for a health care service; or
(C) implement a new contractual or administrative requirement.
Status: in_force · Read it on the official government site
Need a lawyer in Texas?
Find a Texas lawyer
About this page: Statute text is reproduced from official government publishers via the
Open US Law dataset
(Vaquill AI, snapshot v2026.08, CC BY 4.0). Primary legislative text like this is public domain under the government-edicts doctrine
(Georgia v. Public.Resource.Org, 2020). We link every section back to its official source so you can verify it independently.