1. (a) This subchapter applies only to a health benefit plan that provides benefits for medical or surgical expenses incurred as a result of a health condition, accident, or sickness, including an individual, group, blanket, or franchise insurance policy or insurance agreement, a group hospital service contract, or an individual or group evidence of coverage or similar coverage document that is issued by:

   1. (1) an insurance company;
   2. (2) a group hospital service corporation operating under Chapter 842;
   3. (3) a health maintenance organization operating under Chapter 843;
   4. (4) an approved nonprofit health corporation that holds a certificate of authority under Chapter 844;
   5. (5) a multiple employer welfare arrangement that holds a certificate of authority under Chapter 846;
   6. (6) a stipulated premium company operating under Chapter 884;
   7. (7) a fraternal benefit society operating under Chapter 885;
   8. (8) a Lloyd's plan operating under Chapter 941; or
   9. (9) an exchange operating under Chapter 942.

2. (b) Notwithstanding any other law, this subchapter applies to:

   1. (1) a small employer health benefit plan subject to Chapter 1501, including coverage provided through a health group cooperative under Subchapter B of that chapter;
   2. (2) a standard health benefit plan issued under Chapter 1507;
   3. (3) a basic coverage plan under Chapter 1551;
   4. (4) a basic plan under Chapter 1575;
   5. (5) a primary care coverage plan under Chapter 1579;
   6. (6) a plan providing basic coverage under Chapter 1601; and
   7. (7) a self-funded health benefit plan sponsored by a professional employer organization under Chapter 91, Labor Code.

Added by Acts 2025, 89th Leg., R.S., Ch. 608 (H.B. 3057), Sec. 1, eff. September 1, 2025.