{"data":{"id":"us-tx/tex.-insurance-code-1357.055","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1357.055","heading":"PROHIBITED CONDUCT.","body":"An issuer of a health benefit plan may not:\n(1) deny the eligibility or continued eligibility of an individual to enroll in the plan or renew coverage under the plan solely to avoid the requirements of this subchapter;\n(2) provide money payments or rebates to an enrollee to encourage the enrollee to accept less than the minimum coverage required under this subchapter;\n(3) reduce or limit the amount paid to an attending physician, or otherwise penalize the physician, because the physician provided care to an enrollee in accordance with this subchapter; or\n(4) provide financial or other incentives to an attending physician to encourage the physician to provide care to an enrollee in a manner inconsistent with this subchapter.\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 E. BENEFITS PAYABLE UNDER HEALTH COVERAGES","CHAPTER 1357. MASTECTOMY","SUBCHAPTER B. HOSPITAL STAY FOLLOWING MASTECTOMY AND CERTAIN RELATED PROCEDURES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1357.htm#1357.055","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"cfb4b4858a189f012fae79d7ca334706a746569aada8008ff7a3198823090ace","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1357.054","next":"us-tx/tex.-insurance-code-1357.056"},"notice":"GroundRules: Original legal text. Not legal advice."}