Texas Insurance Code

§ 843.151 — RULES

IN § 843.151Title 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES · Part C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES · Ch. 843. HEALTH MAINTENANCE ORGANIZATIONS · Art. E. REGULATION OF HEALTH MAINTENANCE ORGANIZATIONS

Statute text

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The commissioner may adopt reasonable rules as necessary and proper to:

(1)implement this chapter and Section 1367.053, Subchapter A, Chapter 1452, Subchapter B, Chapter 1507, Chapters 222, 251, and 258, as applicable to a health maintenance organization, and Chapters 1271 and 1272, including rules to:

(A)prescribe authorized investments for a health maintenance organization for all investments not otherwise addressed in this chapter;

(B)ensure that enrollees have adequate access to health care services; and

(C)establish minimum physician-to-patient ratios, mileage requirements for primary and specialty care, maximum travel time, and maximum waiting time for obtaining an appointment; and

(2)meet the requirements of federal law and regulations. Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003. Amended by:

Legislative history

Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 2E.039, eff. April 1, 2009.