Tex. Ins. Code § 1272.208 · Subchapter E. COMPLIANCE
AUTHORITY OF COMMISSIONER TO ISSUE ORDER.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) Regardless of whether a delegated entity complies with a request for corrective action under Section 1272.207, the commissioner may order a health maintenance organization with which the entity has entered into a delegation agreement to take any action the commissioner determines is necessary to ensure that the health maintenance organization is complying with this chapter, Chapter 843, 1271, or 1367, Subchapter A, Chapter 1452, or Subchapter B, Chapter 1507.
(b) Actions the commissioner may order a health maintenance organization to take under this section include:
(1) reassuming the functions delegated to the delegated entity, including claims payments for services previously provided to enrollees;
(2) temporarily or permanently ceasing assignment of new enrollees to the entity;
(3) temporarily or permanently transferring enrollees to alternative delivery systems to receive services; or
(4) terminating the delegation agreement with the entity.
Notes and commentary — not statutory text
History
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2005, 79th Leg., Ch. 728 (H.B. 2018), Sec. 11.074(h), eff. September 1, 2005.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1272.htm
- Text hash
- sha256 b22b504bbf5ee1b29de242bebff894c14a190e3fefd74dbee9237ce8f802d9b1
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Insurance Code
- Tex. Ins. Code ch. 843HEALTH MAINTENANCE ORGANIZATIONSPrinted as Chapter 843
- Tex. Ins. Code § 1272.207REQUEST FOR CORRECTIVE ACTION.Printed as Section 1272.207
- Tex. Ins. Code ch. 1452, subch. ACREDENTIALING OF PHYSICIANS AND PROVIDERS BY HEALTH MAINTENANCE ORGANIZATIONPrinted as Subchapter A, Chapter 1452
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.