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TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 13MISCELLANEOUS INSURERS AND OTHER REGULATED ENTITIES
SUBCHAPTER EHEALTH CARE COLLABORATIVES
DIVISION 10COMPLAINT SYSTEMS; RIGHTS OF PHYSICIANS; LIMITATIONS ON PARTICIPATION
RULE §13.494Limitations and Prohibition

(a) An HCC may limit a physician or physician group from participating in the HCC only if the limitation is based on an established development plan approved by the HCC board of directors. The HCC must provide each applicant physician or group with a copy of the development plan.

(b) An HCC is prohibited from taking a retaliatory or adverse action against a physician or health care provider that files a complaint with a regulatory authority regarding the action of an HCC.


Source Note: The provisions of this §13.494 adopted to be effective March 31, 2013, 38 TexReg 2100

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