Texas § 62.052 AUTHORITY OF COMMISSION RELATING TO HEALTH PLAN PROVIDER CONTRACTS.

Texas Statutes

§ 62.052 — AUTHORITY OF COMMISSION RELATING TO HEALTH PLAN PROVIDER CONTRACTS.

Texas § 62.052

Code HSHealth and Safety Code

This text of Texas § 62.052 (AUTHORITY OF COMMISSION RELATING TO HEALTH PLAN PROVIDER CONTRACTS.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Health and Safety Code Code Ann. § 62.052 (2026).

Text

Sec. 62.052. AUTHORITY OF COMMISSION RELATING TO HEALTH PLAN PROVIDER CONTRACTS. The commission may:

(1)implement contracts with health plan providers under Section 62.155 ;

(2)monitor the health plan providers, through reporting requirements and other means, to ensure performance under the contracts and quality delivery of services;

(3)monitor the quality of services delivered to enrollees through outcome measurements including:

(A)rate of hospitalization for ambulatory sensitive conditions, including asthma, diabetes, epilepsy, dehydration, gastroenteritis, pneumonia, and UTI/kidney infection;

(B)rate of hospitalization for injuries;

(C)percent of enrolled adolescents reporting risky health behavior such as injuries, tobacco use, alcohol/drug use, dietary behavior, physical activit

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Sec. 62.052. AUTHORITY OF COMMISSION RELATING TO HEALTH PLAN PROVIDER CONTRACTS. The commission may:
(1) implement contracts with health plan providers under Section 62.155 ;
(2) monitor the health plan providers, through reporting requirements and other means, to ensure performance under the contracts and quality delivery of services;
(3) monitor the quality of services delivered to enrollees through outcome measurements including:
(A) rate of hospitalization for ambulatory sensitive conditions, including asthma, diabetes, epilepsy, dehydration, gastroenteritis, pneumonia, and UTI/kidney infection;
(B) rate of hospitalization for injuries;
(C) percent of enrolled adolescents reporting risky health behavior such as injuries, tobacco use, alcohol/drug use, dietary behavior, physical activity, or other health related behaviors; and
(D) percent of adolescents reporting attempted suicide; and
(4) provide payment under the contracts to the health plan providers.

Cecile Erwin Young, in Her Official Capacity as the Executive Commissioner of the Texas Health and Human Services Commission; Molina Healthcare of Texas, Inc.; And Aetna Better Health of Texas, Inc. v. Cook Children's Health Plan, Texas Children's Health Plan, Superior Health Plan, Inc., and Wellpoint Insurance Company

(Court of Appeals of Texas, 2025)

Legislative History

Added by Acts 1999, 76th Leg., ch. 235, Sec. 1, eff. Aug. 30, 1999. Amended by: Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219 ), Sec. 3.0192, eff. April 2, 2015.