{"data":{"id":"us-tx/tex.-insurance-code-1460.003","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1460.003","heading":"PHYSICIAN RANKING REQUIREMENTS.","body":"(a) A health benefit plan issuer, including a subsidiary or affiliate, may not rank physicians or classify physicians into tiers based on performance unless:\n(1) the standards used by the health benefit plan issuer to rank or classify are developed or prescribed by an organization designated by the commissioner through rules adopted under Section 1460.005;\n(2) the ranking or classification and any methodology used to rank or classify:\n(A) is disclosed to each affected physician at least 45 days before the date the ranking or classification is released, published, or distributed by the health benefit plan issuer; and\n(B) identifies which products or networks offered by the health benefit plan issuer the ranking or classification will be used for; and\n(3) each affected physician is given an easy-to-use process to identify:\n(A) before the release, publication, or distribution of the ranking or classification, any discrepancy between the standards and the ranking or classification proposed by the health benefit plan issuer; and\n(B) after the release, publication, or distribution of the ranking or classification, any objectively and verifiably false information contained in the ranking or classification.\n(a-1) If a physician submits information under Subsection (a)(3) sufficient to establish a verifiable discrepancy or objectively and verifiably false information contained in the ranking or classification or a violation of this chapter, the health benefit plan issuer must remedy the discrepancy, false information, or violation by the later of:\n(1) the release, publication, or distribution of the ranking or classification; or\n(2) the 30th day after the date the health benefit plan issuer receives the information.\n(b) This section does not apply to the publication of a list of network physicians and providers if ratings or comparisons are not made and the list is not a product of nor reflects the tiering or classification of physicians or providers.\nAdded by Acts 2009, 81st Leg., R.S., Ch. 652 (H.B. 1888), Sec. 1, eff. September 1, 2009.\nAmended by:\nActs 2025, 89th Leg., R.S., Ch. 787 (S.B. 926), Sec. 4, eff. September 1, 2025.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE F. PHYSICIANS AND HEALTH CARE PROVIDERS","CHAPTER 1460. STANDARDS REQUIRED REGARDING CERTAIN PHYSICIAN RANKINGS BY HEALTH BENEFIT PLANS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1460.htm#1460.003","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"eceac04b0be2592bf85afd2aa0cd419631ea75925849603346810da0d487c8d5","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1460.002","next":"us-tx/tex.-insurance-code-1460.004"},"notice":"GroundRules: Original legal text. Not legal advice."}