Sec. 842.258. LIMITATIONS ON CONTRACTS FOR MEDICAL SERVICES. (a) A group hospital service corporation may not:
(1) contract to provide to a member a physician or any medical services;
(2) contract to practice medicine in any manner;
(3) control or attempt to control the relations existing between a member and the member's physician; or
(4) restrict the right of a patient to obtain the services of any licensed physician.
(b) This section does not prohibit a group hospital service corporation from contracting with:
(1) a health organization certified under Chapter 162, Occupations Code; or
(2) a physician or other health care provider under rules adopted for preferred provider plans.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.
Structure Texas Statutes
Title 6 - Organization of Insurers and Related Entities
Subtitle C - Life, Health, and Accident Insurers and Related Entities
Chapter 842 - Group Hospital Service Corporations
Subchapter F. Plan of Operation; Provision of Benefits to Members
Section 842.251. Plan of Operation
Section 842.252. Membership Certificate; Contract
Section 842.253. Policy, Certificate, and Application Forms
Section 842.254. Deposit Requirements
Section 842.255. Advance Payments to Hospital Prohibited
Section 842.256. Contracts With Health Care Providers
Section 842.257. May Limit Benefits
Section 842.258. Limitations on Contracts for Medical Services
Section 842.259. Use of Indemnity Plan Authorized
Section 842.260. Payment of Claim; Proof of Claim
Section 842.261. Information Available Through Internet Site