Tex. Ins. Code § 843.305 · Subchapter I. RELATIONS WITH PHYSICIANS AND PROVIDERS
ANNUAL APPLICATION PERIOD FOR PHYSICIANS AND PROVIDERS TO CONTRACT.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) This section applies only to a health maintenance organization that provides coverage for health care services through:
(1) one or more physicians or providers who are not partners or employees of the health maintenance organization; or
(2) one or more physicians or providers who are not owned or operated by the health maintenance organization.
(b) A health maintenance organization shall provide a period of 20 calendar days each calendar year during which any physician or provider in a service area may, under the terms established by the health maintenance organization for the provision of services and the designation of physicians and providers, apply to participate in providing health care services.
(c) A health maintenance organization that denies the application of a physician or provider shall notify the physician or provider in writing of the reason for the denial.
(d) This section does not require that a health maintenance organization:
(1) use a particular type of physician or provider in its operation;
(2) accept a physician or provider of a category or type that does not meet the practice standards and qualifications established by the health maintenance organization; or
(3) contract directly with physicians or providers of a particular category or type.
Notes and commentary — not statutory text
History
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.843.htm
- Text hash
- sha256 b892a70ea353e3ca6521927de3ca7c88529918aebdfc146d2ddc0c701a5ce34e
- 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
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.