Texas Insurance Code - Not Codified - Article 29.06. Exception To Limitations On Joint Negotiation
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Art. 29.06. EXCEPTION TO LIMITATIONS ON JOINT NEGOTIATION.
Text of article effective until September 1, 2007
(a) Competing physicians within the service area of a health
benefit plan may jointly negotiate the terms and conditions
specified in Article 29.05 of this code where the health benefit
plan has substantial market power and those terms and conditions
have already affected or threaten to adversely affect the quality
and availability of patient care. The attorney general shall make
the determination of what constitutes substantial market power.
(b) The department shall have the authority to collect and
investigate information necessary to determine, on an annual basis:
(1) the average number of covered lives per month per county
by every health care entity in the state; and
(2) the annual impact, if any, of this article on average
physician fees in this state.
(c) Subsection (a) of this article does not apply to:
(1) a Medicaid managed care plan under the Medicaid managed
care delivery system established under Chapters 532 and 533,
Government Code; or
(2) a child health plan:
(A) for certain low-income children issued under the Health
and Safety Code; or
(B) designed under Section 2101, Social Security Act (42
U.S.C. Section 1397aa).
Added by Acts 1999, 76th Leg., ch. 1586, Sec. 1, eff. Sept. 1, 1999.
Article: 25.09 25.10 29.01 29.02 29.03 29.04 29.05 29.06 29.07 29.08 29.09 29.10 29.11 29.12 29.13
Last modified: August 11, 2007
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