Texas Insurance Code

§ 501.254 — CONFIDENTIALITY AND USE OF INFORMATION

IN § 501.254Title 5. PROTECTION OF CONSUMER INTERESTS · Part A. PUBLIC INSURANCE COUNSEL · Ch. 501. OFFICE OF PUBLIC INSURANCE COUNSEL · Art. F. DUTIES RELATING TO HEALTH MAINTENANCE ORGANIZATIONS

Statute text

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(a)Except as provided by this section, information collected under this subchapter is subject to Chapter 552, Government Code, and the office shall make determinations on requests for information in favor of access.

(b)The office may not make public any confidential information provided to the office under this subchapter but may disclose a summary of the information that does not directly or indirectly identify the health maintenance organization that is the subject of the information. The office may not release, and a person or entity may not gain access to, any information that:

(1)could reasonably be expected to reveal the identity of a patient or physician;

(2)reveals the zip code of a patient's primary residence;

(3)discloses a provider discount or a differential between a payment and a billed charge; or

(4)relates to an actual payment made by a payer to an identified provider.

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Legislative history

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1, 2005.