Sec. 162.0022. HEALTH ORGANIZATION POLICIES. (a) A health organization certified under Section 162.001(b) shall adopt, maintain, and enforce policies to ensure that a physician employed by the health organization exercises independent medical judgment when providing care to patients.
(b) The policies adopted under this section must include policies relating to:
(1) credentialing;
(2) quality assurance;
(3) utilization review; and
(4) peer review.
(c) The policies adopted under this section, including any amendments to the policies, must be developed by the board of directors or board of trustees, as applicable, of the health organization and approved by an affirmative vote.
(d) The policies of the health organization must be drafted and interpreted in a manner that reserves the sole authority to engage in the practice of medicine to a physician participating in the health organization, regardless of the physician's employment status with the health organization.
Added by Acts 2011, 82nd Leg., R.S., Ch. 670 (S.B. 1661), Sec. 1, eff. January 1, 2012.
Structure Texas Statutes
Chapter 162 - Regulation of Practice of Medicine
Subchapter A. Regulation by Board of Certain Nonprofit Health Corporations
Section 162.001. Certification by Board
Section 162.002. Limitation on Physician Fees
Section 162.0021. Interference With Physician's Professional Judgment Prohibited
Section 162.0022. Health Organization Policies
Section 162.0023. Disciplinary Action Restriction
Section 162.0024. Contractual Waiver Prohibited
Section 162.003. Refusal to Certify; Revocation; Penalty
Section 162.004. Procedures for and Disposition of Complaints Against Certain Health Organizations
Section 162.005. Anti-Retaliation Policy
Section 162.006. Biennial Report Required for Certain Health Organizations