{"data":{"id":"us-tx/tex.-insurance-code-1461.003","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 1461.003","heading":"DISCRIMINATION BASED ON MAINTENANCE OF CERTIFICATION.","body":"(a) Except as provided by Subsection (b), a managed care plan issuer may not differentiate between physicians based on a physician's maintenance of certification in regard to:\n(1) paying the physician;\n(2) reimbursing the physician; or\n(3) directly or indirectly contracting with the physician to provide services to enrollees.\n(b) A managed care plan issuer may differentiate between physicians based on a physician's maintenance of certification only if the designation under law or certification or accreditation by a national certifying or accrediting organization of an entity described by Section 151.0515(a), Occupations Code, is contingent on the entity requiring a specific maintenance of certification by physicians seeking staff privileges or credentialing at the entity.\nAdded by Acts 2017, 85th Leg., R.S., Ch. 1121 (S.B. 1148), Sec. 1, eff. January 1, 2018.","path":["INSURANCE CODE","TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES","SUBTITLE F. PHYSICIANS AND HEALTH CARE PROVIDERS","CHAPTER 1461. DISCRIMINATION AGAINST PHYSICIAN BASED ON MAINTENANCE OF CERTIFICATION"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1461.htm#1461.003","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"86f683e7bae18308deb357f01a705a0ea465aa9753797e13e47b560213550e68","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-1461.002","next":"us-tx/tex.-insurance-code-1467.001"},"notice":"GroundRules: Original legal text. Not legal advice."}