Tex. Ins. Code §§ 752.0001 through 752.0003: Regulation of Insurer Market Conduct– Enforcement of Balance Billing Prohibitions – Texas

Status: Enacted
Year Enacted: 2019
File: Download

If the attorney receives a referral from the appropriate regulatory agency indicating that an individual or entity, including a health benefit plan issuer or administrator, has exhibited a pattern of intentionally violating a law that prohibits the individual or entity from billing an insured, participant, or enrollee in an amount greater than the applicable copayment, coinsurance, and deductible under the insured’s participant’s, or enrollee’s managed care plan or that imposes a requirement related to that prohibition, the attorney general may bring a civil action in the name of the state to enjoin the individual or entity from the violation.

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