State Codes and Statutes

Statutes > Texas > Insurance-code > Title-8-health-insurance-and-other-health-coverages > Chapter-1353-immunization-or-vaccination-protocols-under-managed-care-plans

INSURANCE CODE

TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES

SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES

CHAPTER 1353. IMMUNIZATION OR VACCINATION PROTOCOLS UNDER MANAGED

CARE PLANS

Sec. 1353.001. PROHIBITED CONDUCT. A managed care entity may

not:

(1) require a physician participating in a managed care plan to

issue an immunization or vaccination protocol for an immunization

or vaccination to be administered to an enrollee in the plan;

(2) limit an enrollee's benefits for immunizations or

vaccinations to circumstances in which an immunization or

vaccination protocol is issued;

(3) provide a financial incentive to a physician to issue an

immunization or vaccination protocol; or

(4) impose a financial or other penalty on a physician who

refuses to issue an immunization or vaccination protocol.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1353.002. RULES. The commissioner may adopt rules to

implement this chapter.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

State Codes and Statutes

Statutes > Texas > Insurance-code > Title-8-health-insurance-and-other-health-coverages > Chapter-1353-immunization-or-vaccination-protocols-under-managed-care-plans

INSURANCE CODE

TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES

SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES

CHAPTER 1353. IMMUNIZATION OR VACCINATION PROTOCOLS UNDER MANAGED

CARE PLANS

Sec. 1353.001. PROHIBITED CONDUCT. A managed care entity may

not:

(1) require a physician participating in a managed care plan to

issue an immunization or vaccination protocol for an immunization

or vaccination to be administered to an enrollee in the plan;

(2) limit an enrollee's benefits for immunizations or

vaccinations to circumstances in which an immunization or

vaccination protocol is issued;

(3) provide a financial incentive to a physician to issue an

immunization or vaccination protocol; or

(4) impose a financial or other penalty on a physician who

refuses to issue an immunization or vaccination protocol.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1353.002. RULES. The commissioner may adopt rules to

implement this chapter.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.


State Codes and Statutes

State Codes and Statutes

Statutes > Texas > Insurance-code > Title-8-health-insurance-and-other-health-coverages > Chapter-1353-immunization-or-vaccination-protocols-under-managed-care-plans

INSURANCE CODE

TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES

SUBTITLE E. BENEFITS PAYABLE UNDER HEALTH COVERAGES

CHAPTER 1353. IMMUNIZATION OR VACCINATION PROTOCOLS UNDER MANAGED

CARE PLANS

Sec. 1353.001. PROHIBITED CONDUCT. A managed care entity may

not:

(1) require a physician participating in a managed care plan to

issue an immunization or vaccination protocol for an immunization

or vaccination to be administered to an enrollee in the plan;

(2) limit an enrollee's benefits for immunizations or

vaccinations to circumstances in which an immunization or

vaccination protocol is issued;

(3) provide a financial incentive to a physician to issue an

immunization or vaccination protocol; or

(4) impose a financial or other penalty on a physician who

refuses to issue an immunization or vaccination protocol.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.

Sec. 1353.002. RULES. The commissioner may adopt rules to

implement this chapter.

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1,

2005.