Tex. Ins. Code § 848.201 · Subchapter E. ENFORCEMENT
ENFORCEMENT ACTIONS.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) After notice and opportunity for a hearing, the commissioner may:
(1) suspend or revoke a certificate of authority issued to a health care collaborative under this chapter;
(2) impose sanctions under Chapter 82;
(3) issue a cease and desist order under Chapter 83; or
(4) impose administrative penalties under Chapter 84.
(b) The commissioner may take an enforcement action listed in Subsection (a) against a health care collaborative if the commissioner finds that the health care collaborative:
(1) is operating in a manner that is:
(A) significantly contrary to its basic organizational documents; or
(B) contrary to the manner described in and reasonably inferred from other information submitted under Section 848.057;
(2) does not meet the requirements of Section 848.057;
(3) cannot fulfill its obligation to provide health care services as required under its contracts with governmental or private entities;
(4) does not meet the requirements of Chapter 1272, if applicable;
(5) has not implemented the complaint system required by Section 848.107 in a manner to resolve reasonably valid complaints;
(6) has advertised or merchandised its services in an untrue, misrepresentative, misleading, deceptive, or unfair manner or a person on behalf of the health care collaborative has advertised or merchandised the health care collaborative's services in an untrue, misrepresentative, misleading, deceptive, or untrue manner;
(7) has not complied substantially with this chapter or a rule adopted under this chapter;
(8) has not taken corrective action the commissioner considers necessary to correct a failure to comply with this chapter, any applicable provision of this code, or any applicable rule or order of the commissioner not later than the 30th day after the date of notice of the failure or within any longer period specified in the notice and determined by the commissioner to be reasonable; or
(9) has or is utilizing market power in an anticompetitive manner, in accordance with established antitrust principles of market power analysis.
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 7fb5a36d720b51829280a79c9903af45528ab3baeed7223b96e66775c6f4c44c
- 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. 82SANCTIONSPrinted as Chapter 82
- Tex. Ins. Code ch. 83EMERGENCY CEASE AND DESIST ORDERSPrinted as Chapter 83
- Tex. Ins. Code § 848.057REQUIREMENTS FOR APPROVAL OF APPLICATION.Printed as Section 848.057
- Tex. Ins. Code § 848.107COMPLAINT SYSTEMS.Printed as Section 848.107
- Tex. Ins. Code ch. 1272DELEGATION OF CERTAIN FUNCTIONS BY HEALTH MAINTENANCE ORGANIZATIONPrinted as Chapter 1272
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.