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Texas Insurance Code - Not Codified - Article 29.08. Requirements For Physicians' Representative

Legal Research Home > Texas Lawyer > Insurance Code - Not Codified > Texas Insurance Code - Not Codified - Article 29.08. Requirements For Physicians' Representative

Art. 29.08. REQUIREMENTS FOR PHYSICIANS' REPRESENTATIVE.                       

Text of article effective until September 1, 2007
	Any person or organization proposing to act or acting as a 
representative of physicians for the purpose of exercising 
authority granted under this chapter shall comply with the 
following requirements:
	(1)  before engaging in any joint negotiations with health 
benefit plans on behalf of physicians, the representative shall 
furnish, for the attorney general's approval, a report identifying:
	(A)  the representative's name and business address;                           
	(B)  the names and addresses of the physicians who will be 
represented by the identified representative;
	(C)  the relationship of the physicians requesting joint 
representation to the total population of physicians in a 
geographic service area;
	(D)  the health benefit plans with which the representative 
intends to negotiate on behalf of the identified physicians;
	(E)  the proposed subject matter of the negotiations or 
discussions with the identified health benefit plans;
	(F)  the representative's plan of operation and procedures 
to ensure compliance with this section;
	(G)  the expected impact of the negotiations on the quality 
of patient care;  and
	(H)  the benefits of a contract between the identified health 
benefit plan and physicians;
	(2)  after the parties identified in the initial filing have 
reached an agreement, the representative shall furnish, for the 
attorney general's approval, a copy of the proposed contract and 
plan of action;  and
	(3)  within 14 days of a health benefit plan decision 
declining negotiation, terminating negotiation, or failing to 
respond to a request for negotiation, the representative shall 
report to the attorney general the end of negotiations.  If 
negotiations resume within 60 days of such notification to the 
attorney general, the applicant shall be permitted to renew the 
previously filed report without submitting a new report for 
approval.

Added by Acts 1999, 76th Leg., ch. 1586, Sec. 1, eff. Sept. 1, 1999.          

Last modified: August 11, 2007