The following words and terms, when used in this subchapter,
have the following meanings unless the context clearly indicates otherwise.
(1) Abortion--As defined in Texas Health and Safety
Code §245.002.
(2) Affiliate--
(A) An individual or entity that has a legal relationship
with another entity, which relationship is created or governed by
at least one written instrument that demonstrates:
(i) common ownership, management, or control;
(ii) a franchise; or
(iii) the granting or extension of a license or other
agreement that authorizes the affiliate to use the other entity's
brand name, trademark, service mark, or other registered identification
mark.
(B) The written instruments referenced in subparagraph
(A) of this definition may include a certificate of formation, a franchise
agreement, standards of affiliation, bylaws, articles of incorporation
or a license, but do not include agreements related to a physician's
participation in a physician group practice, such as a hospital group
agreement, staffing agreement, management agreement, or collaborative
practice agreement.
(3) Applicant--An individual applying to receive services
under FPP, including a current client who is applying to renew.
(4) Budget group--Members of a household whose needs,
income, resources, and expenses are considered in determining eligibility.
(5) Client--Any individual seeking assistance from
an FPP health-care provider to meet their family planning goals.
(6) Covered service--A service that is reimbursable
under FPP.
(7) Family Planning Program (FPP)--The non-Medicaid
program administered by HHSC as outlined in this subchapter.
(8) Family Planning Program provider--A health-care
provider that is contracted with HHSC and qualified to perform covered
services.
(9) Family planning services--Educational or comprehensive
medical activities that enable individuals to determine freely the
number and spacing of their children and to select the means by which
this may be achieved.
(10) Federal poverty level--The household income guidelines
issued annually and published in the Federal Register by the United
States Department of Health and Human Services.
(11) Grantee--An entity that HHSC has contracted with
to provide services. The grantee is the responsible entity, even if
a subgrantee provides the service.
(12) Health-care provider--A physician, physician assistant,
nurse practitioner, clinical nurse specialist, certified nurse midwife,
federally qualified health center, family planning agency, health
clinic, ambulatory surgical center, hospital ambulatory surgical center,
laboratory, or rural health center.
(13) HHSC--The Texas Health and Human Services Commission
or its designee.
(14) Medicaid program--The Texas Medical Assistance
Program, a joint federal and state program provided for in Texas Human
Resources Code Chapter 32, and subject to Title XIX of the Social
Security Act, 42 U.S.C. §1396 et seq.
(15) Minor--In accordance with the Texas Family Code,
a person under 18 years of age who has never been married and never
been declared an adult by a court (emancipated).
(16) Point of Service--The location where an individual
can receive FPP services.
(17) Third-party resource--A person or organization,
other than HHSC or a person living with an applicant or a client,
who may be liable as a source of payment of the applicant's or client's
medical expenses, for example, a private health insurance company
or liability insurance company.
(18) Unintended pregnancies--Pregnancies that a female
reports as either mistimed or undesired at the time of conception.
(19) U.S.C.--United States Code.
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