{"data":{"id":"us-tx/tex.-insurance-code-1301.152","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1301.152","heading":"CONTINUING CARE IN GENERAL.","body":"(a) An insurer shall establish reasonable procedures for ensuring a transition of insureds to physicians or health care providers and for continuity of treatment.\n(b) An insurer shall:\n(1) provide, subject to Section 1301.160, reasonable advance notice to an insured of the impending termination of the participation in the plan of a physician or health care provider who is currently treating the insured; and\n(2) in the event of termination of a preferred provider's participation in the plan, make available to the insured a current listing of preferred providers.\n(c) A contract between an insurer and a physician or health care provider must include a procedure for resolving disputes regarding the necessity for continued treatment by the physician or provider.\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 D. PROVIDER PLANS","CHAPTER 1301. PREFERRED PROVIDER BENEFIT PLANS","SUBCHAPTER D. RELATIONS BETWEEN INSUREDS AND PREFERRED PROVIDERS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm#1301.152","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"6a749d3db18eafbe9efea9827b171c37e47fc4295393f2e06b01f39685bcac5b","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1301.151","next":"us-tx/tex.-insurance-code-1301.153"},"notice":"GroundRules: Original legal text. Not legal advice."}