INDUCEMENT TO LIMIT MEDICALLY NECESSARY SERVICES PROHIBITED
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 may not use a financial incentive or make a payment to a physician or provider if the incentive or payment acts directly or indirectly as an inducement to limit medically necessary services.
(b) This section does not prohibit the use of capitation as a method of payment.
Official source: Texas Constitution and Statutes. Reproduced from public-domain Texas statutes; confirm against the official source for the current text. Not legal advice.