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Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Insurance Code § 1301.00566: EFFECT OF NETWORK ADEQUACY STANDARDS WAIVER ON BALANCE BILLING PROHIBITIONS.

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Where this section sits in the code
  1. INSURANCE CODE
  2. TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES
  3. SUBTITLE D. PROVIDER PLANS
  4. CHAPTER 1301. PREFERRED PROVIDER BENEFIT PLANS
  5. SUBCHAPTER A. GENERAL PROVISIONS

After a network adequacy standards waiver is granted by the commissioner, an insurer may refer to the provisions prohibiting balance billing under Sections 1301.0053, 1301.155, 1301.164, or 1301.165, as applicable, in an access plan submitted to the department for the sole purpose of explaining how the insurer will coordinate care to limit the likelihood of a balance bill for services subject to those provisions and not to justify a departure from network adequacy standards.

Added by Acts 2023, 88th Leg., R.S., Ch. 740 (H.B. 3359), Sec. 8, eff. September 1, 2023.

Collected 2026-08-27T01:47:21Z. Source file · JSON

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