Tex. Insurance Code § 845.053
REQUIREMENTS APPLICABLE TO CERTAIN PLANS
Texas · Texas Insurance Code · Status: effective
Cite this
- Citation
- Tex. Insurance Code § 845.053, REQUIREMENTS APPLICABLE TO CERTAIN PLANS, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/679585
- Permanent ID
ys:prov:679585@1- SHA-256
feaa418db366bfd45dd31fc22525aa3211ee98dfa81b94304dbd170353328e7f
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
(a) Except as provided by Subsection (b), if the system seeks to sponsor, arrange for the provision of, or provide health care services to enrollees in exchange for a predetermined payment per enrollee on a prepaid basis, the system must comply with:
(1) all requirements under this code imposed on health plans, including health maintenance organizations; and
(2) any additional requirements the commissioner determines are necessary to ensure enrollee access to health care providers and health care services.
(b) The system is not required to comply with requirements described by Subdivision (a)(1) that relate to mileage, distance, network adequacy, and scope of coverage that the commissioner determines are not applicable to the system.