Insurance Code › Title 5 › Chapter 562 › Subchapter B

Texas Insurance Code § 562.055

Network Participation Requirements

Unfair Methods of Competition and Unfair or Deceptive Acts or Practices Regarding Discount Health Care Programs · Unfair Methods of Competition and Unfair or Deceptive Acts or Practices Defined

(a) It is an unfair method of competition or an unfair or deceptive act or practice in the business of discount health care programs for a discount health care program operator or an affiliate or agent of a discount health care program operator to require a pharmacy or pharmacist to:

(1) participate in a specified provider network as a condition of processing a claim for prescription drugs under the discount health care program; or

(2) participate in, or process claims under, a discount health care program as a condition of participation in a provider network.

(b) A discount health care program operator is not legally liable for any act or omission of an agent of the operator in violation of Subsection (a).

Official text of the Texas Insurance Code as published by the Texas Legislative Council.

Official source
Legislative history

Added by Acts 2015, 84th Leg., R.S., Ch. 573 (H.B. 3028), Sec. 1, eff. September 1, 2015.