| (a) Applicability. This section applies only to a health
benefit plan that is subject to both:
(1) Insurance Code Chapter 1355, Subchapter A, concerning
Group Health Benefit Plan Coverage for Certain Serious Mental Illnesses
and Other Disorders; and
(2) Insurance Code Chapter 1355, Subchapter F, concerning
Coverage for Mental Health Conditions and Substance Use Disorders.
(b) Compliance requirement. If an issuer's health benefit
plan includes a quantitative or nonquantitative treatment limitation
that is permissible under Insurance Code Chapter 1355, Subchapter
A, but does not satisfy Insurance Code §1355.254, concerning
Coverage for Mental Health Conditions and Substance Use Disorders,
the issuer must modify its plan to ensure that it complies with Insurance
Code §1355.254.
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