Texas § 1272.208 AUTHORITY OF COMMISSIONER TO ISSUE ORDER.

Texas Statutes

§ 1272.208 — AUTHORITY OF COMMISSIONER TO ISSUE ORDER.

Texas § 1272.208

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Bluebook

Tex. Insurance Code Code Ann. § 1272.208 (2026).

Text

Sec. 1272.208. AUTHORITY OF COMMISSIONER TO ISSUE ORDER.

(a)Regardless of whether a delegated entity complies with a request for corrective action under Section 1272.207 , the commissioner may order a health maintenance organization with which the entity has entered into a delegation agreement to take any action the commissioner determines is necessary to ensure that the health maintenance organization is complying with this chapter, Chapter 843 , 1271 , or 1367 , Subchapter A , Chapter 1452 , or Subchapter B, Chapter 1507 .

(b)Actions the commissioner may order a health maintenance organization to take under this section include:

(1)reassuming the functions delegated to the delegated entity, including claims payments for services previously provided to enrollees;

(2)temporarily or per

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Sec. 1272.208. AUTHORITY OF COMMISSIONER TO ISSUE ORDER. (a) Regardless of whether a delegated entity complies with a request for corrective action under Section 1272.207 , the commissioner may order a health maintenance organization with which the entity has entered into a delegation agreement to take any action the commissioner determines is necessary to ensure that the health maintenance organization is complying with this chapter, Chapter 843 , 1271 , or 1367 , Subchapter A , Chapter 1452 , or Subchapter B, Chapter 1507 .
(b) Actions the commissioner may order a health maintenance organization to take under this section include:
(1) reassuming the functions delegated to the delegated entity, including claims payments for services previously provided to enrollees;
(2) temporarily or permanently ceasing assignment of new enrollees to the entity;
(3) temporarily or permanently transferring enrollees to alternative delivery systems to receive services; or
(4) terminating the delegation agreement with the entity.

Legislative History

Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005. Amended by: Acts 2005, 79th Leg., Ch. 728 (H.B. 2018 ), Sec. 11.074(h), eff. September 1, 2005.