Tex. Ins. Code § 848.103 · Subchapter C. GENERAL POWERS AND DUTIES OF HEALTH CARE COLLABORATIVE
PAYMENT BY GOVERNMENTAL OR PRIVATE ENTITY.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A health care collaborative may:
(1) contract for and accept payments from a governmental or private entity for all or part of the cost of services provided or arranged for by the health care collaborative; and
(2) distribute payments to participating physicians and health care providers.
(b) Notwithstanding any other law, a health care collaborative that is in compliance with this code, including Chapters 841, 842, and 843, as applicable, may contract for, accept, and distribute payments from governmental or private payors based on fee-for-service or alternative payment mechanisms, including:
(1) episode-based or condition-based bundled payments;
(2) capitation or global payments; or
(3) pay-for-performance or quality-based payments.
(c) Except as provided by Subsection (d), a health care collaborative may not contract for and accept payment from a governmental or private entity on a prepaid, capitation, or indemnity basis unless the health care collaborative is licensed as a health maintenance organization or insurer. The department shall review a health care collaborative's proposed payment methodology in contracts with governmental or private entities to ensure compliance with this section.
(d) A health care collaborative may contract for and accept compensation on a prepaid or capitation basis from a health maintenance organization or insurer.
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 1bf4c6d04c20ec430ba93e0d855e0d44c8c09f002b2fdb82368ea9f4ba405d77
- 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.