{"data":{"id":"us-tx/tex.-insurance-code-843.314","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 843.314","heading":"INDUCEMENT TO LIMIT MEDICALLY NECESSARY SERVICES PROHIBITED.","body":"(a) A health maintenance organization may not use a financial incentive or make a payment to a physician or provider if the incentive or payment acts directly or indirectly as an inducement to limit medically necessary services.\n(b) This section does not prohibit the use of capitation as a method of payment.\nAdded by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.","path":["INSURANCE CODE","TITLE 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES","SUBTITLE C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES","CHAPTER 843. HEALTH MAINTENANCE ORGANIZATIONS","SUBCHAPTER I. RELATIONS WITH PHYSICIANS AND PROVIDERS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.843.htm#843.314","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"17a5846f6b7061acefbba62b42bf95607d671aab050a82ba091ec0153d556072","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-843.313","next":"us-tx/tex.-insurance-code-843.315"},"notice":"GroundRules: Original legal text. Not legal advice."}