Statutes, codes, and regulations
Texas Codes
INSURANCE CODETitle 8 - HEALTH INSURANCE AND OTHER HEALTH COVERAGESSubtitle D - PROVIDER PLANSChapter 1301 - PREFERRED PROVIDER BENEFIT PLANS
Subchapter B - RELATIONS WITH PHYSICIANS OR HEALTH CARE PROVIDERS
Section 1301.068 - Inducement to Limit Medically Necessary Services Prohibited

Tex. Ins. Code § 1301.068

Download
PDF
Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.
Section 1301.068 - Inducement to Limit Medically Necessary Services Prohibited
(a) An insurer may not use any financial incentive or make payment to a physician or health care provider that acts directly or indirectly as an inducement to limit medically necessary services.
(b) This section does not prohibit the use of capitation as a method of payment.

Tex. Ins. Code § 1301.068

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. 4/1/2005.