Sec. 1357.055.  PROHIBITED CONDUCT.  An issuer of a health benefit plan may not:
(1)  deny the eligibility or continued eligibility of an individual to enroll in the plan or renew coverage under the plan solely to avoid the requirements of this subchapter;
(2)  provide money payments or rebates to an enrollee to encourage the enrollee to accept less than the minimum coverage required under this subchapter;
(3)  reduce or limit the amount paid to an attending physician, or otherwise penalize the physician, because the physician provided care to an enrollee in accordance with this subchapter;  or
(4)  provide financial or other incentives to an attending physician to encourage the physician to provide care to an enrollee in a manner inconsistent with this subchapter.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Subtitle E - Benefits Payable Under Health Coverages
Subchapter B. Hospital Stay Following Mastectomy and Certain Related Procedures
Section 1357.052. Applicability of Subchapter
Section 1357.054. Coverage Required
Section 1357.055. Prohibited Conduct