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Tex. Ins. Code § 843.313

ECONOMIC PROFILING

Known as the Texas Health Maintenance Organization Act

The act spans §§ 843–843 (146 sections).

Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff

(a) A health maintenance organization that conducts or uses economic profiling of physicians or providers participating in the health maintenance organization delivery network shall make available to a network physician or provider on request that physician's or provider's economic profile, including the standards by which the physician or provider is measured.

(b) The use of an economic profile must recognize the characteristics of a physician's or provider's practice that may account for variations from expected costs.

Official source: Texas Constitution and Statutes. Reproduced from public-domain Texas statutes; confirm against the official source for the current text. Not legal advice.