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2022 Texas Statutes
Insurance Code
Title 8 - Health Insurance and Other Health Coverages
Subtitle D - Provider Plans
Chapter 1301 - Preferred Provider Benefit Plans
Subchapter A. General Provisions
Section 1301.0055. Network Adequacy Standards
Universal Citation:
TX Ins Code § 1301.0055 (2022)
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Sec. 1301.0055. NETWORK ADEQUACY STANDARDS. The commissioner shall by rule adopt network adequacy standards that:
(1) are adapted to local markets in which an insurer offering a preferred provider benefit plan operates;
(2) ensure availability of, and accessibility to, a full range of contracted physicians and health care providers to provide health care services to insureds; and
(3) on good cause shown, may allow departure from local market network adequacy standards if the commissioner posts on the department's Internet website the name of the preferred provider plan, the insurer offering the plan, and the affected local market.
Added by Acts 2009, 81st Leg., R.S., Ch. 1290 (H.B. 2256), Sec. 2, eff. June 19, 2009.
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