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Tex. Lab. Code § 415.003

ADMINISTRATIVE VIOLATION BY HEALTH CARE PROVIDER

Known as the Texas Workers' Compensation Act

The act spans §§ 401–419 (623 sections).

Applied in 2 court decisions — leading case Howell v. Texas Workers' Compensation Commission (2004)

Most recently applied in Vista Healthcare, Inc. v. Texas Mutual Insurance Co. (October 2010)

Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff

A health care provider commits an administrative violation if the person:

(1) submits a charge for health care that was not furnished;

(2) administers improper, unreasonable, or medically unnecessary treatment or services;

(3) makes an unnecessary referral;

(4) violates the division's fee and treatment guidelines;

(5) violates a commissioner rule; or

(6) fails to comply with a provision of this subtitle.

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