State Law

Texas Statutes-Insurance Code-Title 6-Subtitle C-Chapter 843-Subchapter I. Relations with Physicians and Providers

08/24/2023 Texas Section 843.314

Inducement to Limit Medically Necessary Services Prohibited

Prohibited financial incentives

(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.

(b) This section does not prohibit the use of capitation as a method of payment.