Tex. Ins. Code § 848.057 · Subchapter B. AUTHORITY TO ENGAGE IN BUSINESS
REQUIREMENTS FOR APPROVAL OF APPLICATION.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) The commissioner shall issue a certificate of authority on payment of the application fee prescribed by Section 848.152 if the commissioner is satisfied that:
(1) the applicant meets the requirements of Section 848.056;
(2) with respect to health care services to be provided, the applicant:
(A) has demonstrated the willingness and potential ability to ensure that the health care services will be provided in a manner that:
(i) increases collaboration among health care providers and integrates health care services;
(ii) promotes improvement in quality-based health care outcomes, patient safety, patient engagement, and coordination of services; and
(iii) reduces the occurrence of potentially preventable events;
(B) has processes that contain health care costs without jeopardizing the quality of patient care;
(C) has processes to develop, compile, evaluate, and report statistics on performance measures relating to the quality and cost of health care services, the pattern of utilization of services, and the availability and accessibility of services; and
(D) has processes to address complaints made by patients receiving services provided through the organization;
(3) the applicant is in compliance with all rules adopted by the commissioner under Section 848.151;
(4) the applicant has working capital and reserves sufficient to operate and maintain the health care collaborative and to arrange for services and expenses incurred by the health care collaborative;
(5) the applicant's proposed health care collaborative is not likely to reduce competition in any market for physician, hospital, or ancillary health care services due to:
(A) the size of the health care collaborative; or
(B) the composition of the collaborative, including the distribution of physicians by specialty within the collaborative in relation to the number of competing health care providers in the health care collaborative's geographic market; and
(6) the pro-competitive benefits of the applicant's proposed health care collaborative are likely to substantially outweigh the anticompetitive effects of any increase in market power.
(b) A certificate of authority is effective for a period of one year, subject to Section 848.060(d).
Notes and commentary — not statutory text
History
Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.848.htm
- Text hash
- sha256 73109267e0658e3b11bdecc74f9cc055ca9fb954a7658128689c26c146701c2d
- 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 § 848.056APPLICATION FOR CERTIFICATE OF AUTHORITY.Printed as Section 848.056
- Tex. Ins. Code § 848.060RENEWAL OF CERTIFICATE OF AUTHORITY AND DETERMINATION OF APPROVAL.Printed as Section 848.060(d)
- Tex. Ins. Code § 848.151RULES.Printed as Section 848.151
- Tex. Ins. Code § 848.152FEES AND ASSESSMENTS.Printed as Section 848.152
Cited by 5 provisions
Provisions in this library whose text cites Tex. Ins. Code § 848.057. Each shows the citation as that text prints it.
Insurance Code
- Tex. Ins. Code § 848.005CERTAIN INFORMATION CONFIDENTIAL.Printed as Sections 848.057(a)(5)
- Tex. Ins. Code § 848.058DENIAL OF CERTIFICATE OF AUTHORITY.Printed as Section 848.057
- Tex. Ins. Code § 848.059CONCURRENCE OF ATTORNEY GENERAL.Printed as Section 848.057 | Sections 848.057(a)(5)
- Tex. Ins. Code § 848.060RENEWAL OF CERTIFICATE OF AUTHORITY AND DETERMINATION OF APPROVAL.Printed as Section 848.057
- Tex. Ins. Code § 848.201ENFORCEMENT ACTIONS.Printed as Section 848.057
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.