{"data":{"id":"us-tx/tex.-insurance-code-1301.0058","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1301.0058","heading":"PROTECTED COMMUNICATIONS BY PREFERRED PROVIDERS.","body":"(a) An insurer may not in any manner prohibit, attempt to prohibit, penalize, terminate, or otherwise restrict a preferred provider from communicating with an insured about the availability of out-of-network providers for the provision of the insured's medical or health care services.\n(b) An insurer may not terminate the contract of or otherwise penalize a preferred provider solely because the provider's patients use out-of-network providers for medical or health care services.\n(c) An insurer's contract with a preferred provider may require that, except in a case of a medical emergency as determined by the preferred provider, before the provider may make an out-of-network referral for an insured, the preferred provider inform the insured:\n(1) that:\n(A) the insured may choose a preferred provider or an out-of-network provider; and\n(B) if the insured chooses the out-of-network provider the insured may incur higher out-of-pocket expenses; and\n(2) whether the preferred provider has a financial interest in the out-of-network provider.\nAdded by Acts 2015, 84th Leg., R.S., Ch. 275 (H.B. 574), Sec. 5, eff. September 1, 2015.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE D. PROVIDER PLANS","CHAPTER 1301. PREFERRED PROVIDER BENEFIT PLANS","SUBCHAPTER A. GENERAL PROVISIONS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm#1301.0058","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"ab7cadc9fd666ed60a05002e9d969a5491be9caf5c787d6394a6e60a55e5feb3","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1301.0057","next":"us-tx/tex.-insurance-code-1301.006"},"notice":"GroundRules: Original legal text. Not legal advice."}