State Codes and Statutes
Statutes > Texas > Insurance-code > Title-5-protection-of-consumer-interests > Chapter-552-illegal-pricing-practices
INSURANCE CODE
TITLE 5. PROTECTION OF CONSUMER INTERESTS
SUBTITLE C. DECEPTIVE, UNFAIR, AND PROHIBITED PRACTICES
CHAPTER 552. ILLEGAL PRICING PRACTICES
Sec. 552.001. APPLICABILITY OF CHAPTER. (a) This chapter does
not apply to the provision of a health care service to a:
(1) Medicaid or Medicare patient or a patient who is covered by
a federal, state, or local government-sponsored indigent health
care program;
(2) financially or medically indigent person who qualifies for
indigent health care services based on:
(A) a sliding fee scale; or
(B) a written charity care policy established by a health care
provider; or
(3) person who is not covered by a health insurance policy or
other health benefit plan that provides benefits for the services
and qualifies for services for the uninsured based on a written
policy established by a health care provider.
(b) This chapter does not permit the establishment of health
care provider policies or contracts that violate any other state
or federal law.
(c) This chapter does not prohibit a health care provider from
entering into a contract to provide services covered by a health
insurance policy or other health benefit plan with:
(1) the issuer of the health insurance policy or other health
benefit plan; or
(2) a preferred provider organization that contracts with the
issuer of the health insurance policy or other health benefit
plan.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1,
2005.
Amended by:
Acts 2005, 79th Leg., Ch.
724, Sec. 1, eff. June 17, 2005.
Sec. 552.002. FRAUDULENT INSURANCE ACT. An offense under
Section 552.003 is a fraudulent insurance act under Chapter 701.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1,
2005.
Sec. 552.003. CHARGING DIFFERENT PRICES; OFFENSE. (a) A person
commits an offense if:
(1) the person knowingly or intentionally charges two different
prices for providing the same product or service; and
(2) the higher price charged is based on the fact that an
insurer will pay all or part of the price of the product or
service.
(b) An offense under this section is a Class B misdemeanor.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1,
2005.
State Codes and Statutes
Statutes > Texas > Insurance-code > Title-5-protection-of-consumer-interests > Chapter-552-illegal-pricing-practices
INSURANCE CODE
TITLE 5. PROTECTION OF CONSUMER INTERESTS
SUBTITLE C. DECEPTIVE, UNFAIR, AND PROHIBITED PRACTICES
CHAPTER 552. ILLEGAL PRICING PRACTICES
Sec. 552.001. APPLICABILITY OF CHAPTER. (a) This chapter does
not apply to the provision of a health care service to a:
(1) Medicaid or Medicare patient or a patient who is covered by
a federal, state, or local government-sponsored indigent health
care program;
(2) financially or medically indigent person who qualifies for
indigent health care services based on:
(A) a sliding fee scale; or
(B) a written charity care policy established by a health care
provider; or
(3) person who is not covered by a health insurance policy or
other health benefit plan that provides benefits for the services
and qualifies for services for the uninsured based on a written
policy established by a health care provider.
(b) This chapter does not permit the establishment of health
care provider policies or contracts that violate any other state
or federal law.
(c) This chapter does not prohibit a health care provider from
entering into a contract to provide services covered by a health
insurance policy or other health benefit plan with:
(1) the issuer of the health insurance policy or other health
benefit plan; or
(2) a preferred provider organization that contracts with the
issuer of the health insurance policy or other health benefit
plan.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1,
2005.
Amended by:
Acts 2005, 79th Leg., Ch.
724, Sec. 1, eff. June 17, 2005.
Sec. 552.002. FRAUDULENT INSURANCE ACT. An offense under
Section 552.003 is a fraudulent insurance act under Chapter 701.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1,
2005.
Sec. 552.003. CHARGING DIFFERENT PRICES; OFFENSE. (a) A person
commits an offense if:
(1) the person knowingly or intentionally charges two different
prices for providing the same product or service; and
(2) the higher price charged is based on the fact that an
insurer will pay all or part of the price of the product or
service.
(b) An offense under this section is a Class B misdemeanor.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1,
2005.
State Codes and Statutes
Statutes >
Texas >
Insurance-code >
Title-5-protection-of-consumer-interests >
Chapter-552-illegal-pricing-practices INSURANCE CODE
TITLE 5. PROTECTION OF CONSUMER INTERESTS
SUBTITLE C. DECEPTIVE, UNFAIR, AND PROHIBITED PRACTICES
CHAPTER 552. ILLEGAL PRICING PRACTICES
Sec. 552.001. APPLICABILITY OF CHAPTER. (a) This chapter does
not apply to the provision of a health care service to a:
(1) Medicaid or Medicare patient or a patient who is covered by
a federal, state, or local government-sponsored indigent health
care program;
(2) financially or medically indigent person who qualifies for
indigent health care services based on:
(A) a sliding fee scale; or
(B) a written charity care policy established by a health care
provider; or
(3) person who is not covered by a health insurance policy or
other health benefit plan that provides benefits for the services
and qualifies for services for the uninsured based on a written
policy established by a health care provider.
(b) This chapter does not permit the establishment of health
care provider policies or contracts that violate any other state
or federal law.
(c) This chapter does not prohibit a health care provider from
entering into a contract to provide services covered by a health
insurance policy or other health benefit plan with:
(1) the issuer of the health insurance policy or other health
benefit plan; or
(2) a preferred provider organization that contracts with the
issuer of the health insurance policy or other health benefit
plan.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1,
2005.
Amended by:
Acts 2005, 79th Leg., Ch.
724, Sec. 1, eff. June 17, 2005.
Sec. 552.002. FRAUDULENT INSURANCE ACT. An offense under
Section 552.003 is a fraudulent insurance act under Chapter 701.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1,
2005.
Sec. 552.003. CHARGING DIFFERENT PRICES; OFFENSE. (a) A person
commits an offense if:
(1) the person knowingly or intentionally charges two different
prices for providing the same product or service; and
(2) the higher price charged is based on the fact that an
insurer will pay all or part of the price of the product or
service.
(b) An offense under this section is a Class B misdemeanor.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 2, eff. April 1,
2005.
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