Section 1461.003 - Discrimination Based on Maintenance of Certification(a) Except as provided by Subsection (b), a managed care plan issuer may not differentiate between physicians based on a physician's maintenance of certification in regard to:(1) paying the physician;(2) reimbursing the physician; or(3) directly or indirectly contracting with the physician to provide services to enrollees.(b) A managed care plan issuer may differentiate between physicians based on a physician's maintenance of certification only if the designation under law or certification or accreditation by a national certifying or accrediting organization of an entity described by Section 151.0515(a), Occupations Code, is contingent on the entity requiring a specific maintenance of certification by physicians seeking staff privileges or credentialing at the entity.Tex. Ins. Code § 1461.003
Added by Acts 2017, Texas Acts of the 85th Leg. - Regular Session, ch. 1121,Sec. 1, eff. 1/1/2018.