| (a) No denial of benefits. If a health benefit plan
generally provides benefits for a type of injury, the plan may not
deny benefits otherwise provided for treatment of the injury if the
injury results from an act of domestic violence or a medical condition
(including both physical and mental health conditions). This rule
applies in the case of an injury resulting from a medical condition
even if the condition is not diagnosed before the injury.
(b) Example. The requirements of subsection (a) of
this section are illustrated by the example in figure 28 TAC §21.2414(b).
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