{"data":{"id":"us-tx/tex.-insurance-code-1271.201","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1271.201","heading":"DESIGNATION OF SPECIALIST AS PRIMARY CARE PHYSICIAN.","body":"(a) An evidence of coverage must provide that an enrollee with a chronic, disabling, or life-threatening illness may apply to the health maintenance organization's medical director to use a nonprimary care physician specialist as the enrollee's primary care physician.\n(b) The application must:\n(1) include information specified by the health maintenance organization, including certification of the medical need; and\n(2) be signed by the enrollee and the nonprimary care physician specialist interested in serving as the enrollee's primary care physician.\n(c) To be eligible to serve as the enrollee's primary care physician, a physician specialist must:\n(1) meet the health maintenance organization's requirements for primary care physician participation; and\n(2) agree to accept the responsibility to coordinate all of the enrollee's health care needs.\nAdded by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE C. MANAGED CARE","CHAPTER 1271. BENEFITS PROVIDED BY HEALTH MAINTENANCE ORGANIZATIONS; EVIDENCE OF COVERAGE; CHARGES","SUBCHAPTER E. CHOICE OF PRIMARY CARE PHYSICIAN FOR CERTAIN ENROLLEES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1271.htm#1271.201","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"c20e5e056df7603ddb84eb145bd1728c77535c9b819ed44f89e98ea3357223ed","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1271.159","next":"us-tx/tex.-insurance-code-1271.202"},"notice":"GroundRules: Original legal text. Not legal advice."}