Sec. 843.151. RULES  


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  • The commissioner may adopt reasonable rules as necessary and proper to:

    (1) implement this chapter and Section 1367.053, Subchapter A, Chapter 1452, Subchapter B, Chapter 1507, Chapters 222, 251, and 258, as applicable to a health maintenance organization, and Chapters 1271 and 1272, including rules to:

    (A) prescribe authorized investments for a health maintenance organization for all investments not otherwise addressed in this chapter;

    (B) ensure that enrollees have adequate access to health care services; and

    (C) establish minimum physician-to-patient ratios, mileage requirements for primary and specialty care, maximum travel time, and maximum waiting time for obtaining an appointment; and

    (2) meet the requirements of federal law and regulations.

Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003. Amended by: Acts 2007, 80th Leg., R.S., Ch. 730 , Sec. 2E.039, eff. April 1, 2009.