Texas Statutes
Subchapter B. Relations With Physicians or Health Care Providers
Section 1301.067. Interference With Relationship Between Patient and Physician or Health Care Provider Prohibited

Sec. 1301.067. INTERFERENCE WITH RELATIONSHIP BETWEEN PATIENT AND PHYSICIAN OR HEALTH CARE PROVIDER PROHIBITED. (a) An insurer may not, as a condition of a preferred provider contract with a physician or health care provider or in any other manner, prohibit, attempt to prohibit, or discourage a physician or provider from discussing with or communicating to a current, prospective, or former patient, or a person designated by a patient, information or an opinion:
(1) regarding the patient's health care, including the patient's medical condition or treatment options; or
(2) in good faith regarding the provisions, terms, requirements, or services of the health insurance policy as they relate to the patient's medical needs.
(a-1) An insurer may not, as a condition of payment with a physician or health care provider or in any other manner, require a physician or health care provider to provide a notification form stating that the physician or health care provider is an out-of-network provider to a current, prospective, or former patient, or a person designated by the patient, if the form contains additional information that is intended, or is otherwise required to be presented in a manner that is intended, to intimidate the patient.
(b) An insurer may not in any way penalize, terminate the participation of, or refuse to compensate for covered services a physician or health care provider for discussing or communicating with a current, prospective, or former patient, or a person designated by a patient, pursuant to this section.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 275 (H.B. 574), Sec. 7, eff. September 1, 2015.

Structure Texas Statutes

Texas Statutes

Insurance Code

Title 8 - Health Insurance and Other Health Coverages

Subtitle D - Provider Plans

Chapter 1301 - Preferred Provider Benefit Plans

Subchapter B. Relations With Physicians or Health Care Providers

Section 1301.051. Designation as Preferred Provider

Section 1301.0515. Acupuncturist Services

Section 1301.0516. Chiropractic Services

Section 1301.052. Designation of Advanced Practice Nurse or Physician Assistant as Preferred Provider

Section 1301.0521. Designation of Certain Podiatrists as Preferred Providers

Section 1301.0522. Designation of Certain Optometrists, Therapeutic Optometrists, and Ophthalmologists as Preferred Providers

Section 1301.053. Appeal Relating to Designation as Preferred Provider

Section 1301.054. Notice to Practitioners of Preferred Provider Benefit Plan

Section 1301.055. Complaint Resolution

Section 1301.056. Restrictions on Payment and Reimbursement

Section 1301.057. Termination of Participation; Expedited Review Process

Section 1301.058. Economic Profiling

Section 1301.059. Quality Assessment

Section 1301.060. Compensation on Discounted Fee Basis

Section 1301.061. Preferred Provider Networks

Section 1301.062. Preferred Provider Contracts Between Insurers and Podiatrists

Section 1301.0625. Health Care Collaboratives

Section 1301.063. Contract Provisions Relating to Use of Hospitalist

Section 1301.064. Contract Provisions Relating to Payment of Claims

Section 1301.0641. Contract Provisions Prohibiting Rejection of Batched Claims

Section 1301.065. Shifting of Insurer's Tort Liability Prohibited

Section 1301.066. Retaliation Against Preferred Provider Prohibited

Section 1301.067. Interference With Relationship Between Patient and Physician or Health Care Provider Prohibited

Section 1301.068. Inducement to Limit Medically Necessary Services Prohibited

Section 1301.069. Services Provided by Certain Physicians and Health Care Providers