reglab/housing_qa huggingface dataset:
TX Ins Code § 848.102 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter C. General Powers and Duties of Health Care Collaborative|Section 848.102. Insurance, Reinsurance, Indemnity, and Reimbursement

Sec. 848.102.  INSURANCE, REINSURANCE, INDEMNITY, AND REIMBURSEMENT.  A health care collaborative may contract with an insurer authorized to engage in business in this state to provide insurance, reinsurance, indemnification, or reimbursement against the cost of health care and medical care services provided by the health care collaborative.  This section does not affect the requirement that the health care collaborative maintain sufficient working capital and reserves.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.103 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter C. General Powers and Duties of Health Care Collaborative|Section 848.103. Payment by Governmental or Private Entity

Sec. 848.103.  PAYMENT BY GOVERNMENTAL OR PRIVATE ENTITY.  (a)  A health care collaborative may:(1)  contract for and accept payments from a governmental or private entity for all or part of the cost of services provided or arranged for by the health care collaborative; and(2)  distribute payments to participating physicians and health care providers.(b)  Notwithstanding any other law, a health care collaborative that is in compliance with this code, including Chapters 841, 842, and 843, as applicable, may contract for, accept, and distribute payments from governmental or private payors based on fee-for-service or alternative payment mechanisms, including:(1)  episode-based or condition-based bundled payments;(2)  capitation or global payments; or(3)  pay-for-performance or quality-based payments.(c)  Except as provided by Subsection (d), a health care collaborative may not contract for and accept payment from a governmental or private entity on a prepaid, capitation, or indemnity basis unless the health care collaborative is licensed as a health maintenance organization or insurer.  The department shall review a health care collaborative's proposed payment methodology in contracts with governmental or private entities to ensure compliance with this section.(d)  A health care collaborative may contract for and accept compensation on a prepaid or capitation basis from a health maintenance organization or insurer.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.104 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter C. General Powers and Duties of Health Care Collaborative|Section 848.104. Contracts for Administrative or Management Services

Sec. 848.104.  CONTRACTS FOR ADMINISTRATIVE OR MANAGEMENT SERVICES.  A health care collaborative may contract with any person, including an affiliated entity, to perform administrative, management, or any other required business functions on behalf of the health care collaborative.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.105 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter C. General Powers and Duties of Health Care Collaborative|Section 848.105. Corporation, Partnership, or Association Powers

Sec. 848.105.  CORPORATION, PARTNERSHIP, OR ASSOCIATION POWERS.  A health care collaborative has all powers of a partnership, association, corporation, or limited liability company, including a professional association or corporation, as appropriate under the organizational documents of the health care collaborative, that are not in conflict with this chapter or other applicable law.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.106 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter C. General Powers and Duties of Health Care Collaborative|Section 848.106. Quality and Cost of Health Care Services

Sec. 848.106.  QUALITY AND COST OF HEALTH CARE SERVICES.  (a)  A health care collaborative shall establish policies to improve the quality and control the cost of health care services provided by participating physicians and health care providers that are consistent with prevailing professionally recognized standards of medical practice.  The policies must include standards and procedures relating to:(1)  the selection and credentialing of participating physicians and health care providers;(2)  the development, implementation, monitoring, and evaluation of evidence-based best practices and other processes to improve the quality and control the cost of health care services provided by participating physicians and health care providers, including practices or processes to reduce the occurrence of potentially preventable events;(3)  the development, implementation, monitoring, and evaluation of processes to improve patient engagement and coordination of health care services provided by participating physicians and health care providers; and(4)  complaints initiated by participating physicians, health care providers, and patients under Section 848.107.(b)  The governing body of a health care collaborative shall establish a procedure for the periodic review of quality improvement and cost control measures.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.107 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter C. General Powers and Duties of Health Care Collaborative|Section 848.107. Complaint Systems

Sec. 848.107.  COMPLAINT SYSTEMS.  (a)  A health care collaborative shall implement and maintain complaint systems that provide reasonable procedures to resolve an oral or written complaint initiated by:(1)  a patient who received health care services provided by a participating physician or health care provider; or(2)  a participating physician or health care provider.(b)  The complaint system for complaints initiated by patients must include a process for the notice and appeal of a complaint.(c)  A health care collaborative may not take a retaliatory or adverse action against a physician or health care provider who files a complaint with a regulatory authority regarding an action of the health care collaborative.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.108 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter C. General Powers and Duties of Health Care Collaborative|Section 848.108. Delegation Agreements

Sec. 848.108.  DELEGATION AGREEMENTS.  (a)  Except as provided by Subsection (b), a health care collaborative that enters into a delegation agreement described by Section 1272.001 is subject to the requirements of Chapter 1272 in the same manner as a health maintenance organization.(b)  Section 1272.301 does not apply to a delegation agreement entered into by a health care collaborative.(c)  A health care collaborative may enter into a delegation agreement with an entity licensed under Chapter 841, 842, or 883 if the delegation agreement assigns to the entity responsibility for:(1)  a function regulated by:(A)  Chapter 222;(B)  Chapter 841;(C)  Chapter 842;(D)  Chapter 883;(E)  Chapter 1272;(F)  Chapter 1301;(G)  Chapter 4201;(H)  Section 1367.053; or(I)  Subchapter A, Chapter 1507; or(2)  another function specified by commissioner rule.(d)  A health care collaborative that enters into a delegation agreement under this section shall maintain reserves and capital in addition to the amounts required under Chapter 1272, in an amount and form determined by rule of the commissioner to be necessary for the liabilities and risks assumed by the health care collaborative.(e)  A health care collaborative that enters into a delegation agreement under this section is subject to Chapters 404, 441, and 443 and is considered to be an insurer for purposes of those chapters.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.109 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter C. General Powers and Duties of Health Care Collaborative|Section 848.109. Validity of Operations and Trade Practices of Health Care Collaboratives

Sec. 848.109.  VALIDITY OF OPERATIONS AND TRADE PRACTICES OF HEALTH CARE COLLABORATIVES.  The operations and trade practices of a health care collaborative that are consistent with the provisions of this chapter, the rules adopted under this chapter, and applicable federal antitrust laws are presumed to be consistent with Chapter 15, Business & Commerce Code, or any other applicable provision of law.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.110 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter C. General Powers and Duties of Health Care Collaborative|Section 848.110. Rights of Physicians; Limitations on Participation

Sec. 848.110.  RIGHTS OF PHYSICIANS; LIMITATIONS ON PARTICIPATION.  (a)  Before a complaint against a physician under Section 848.107 is resolved, or before a physician's association with a health care collaborative is terminated, the physician is entitled to an opportunity to dispute the complaint or termination through a process that includes:(1)  written notice of the complaint or basis of the termination;(2)  an opportunity for a hearing not earlier than the 30th day after receiving notice under Subdivision (1);(3)  the right to provide information at the hearing, including testimony and a written statement; and(4)  a written decision that includes the specific facts and reasons for the decision.(b)  A health care collaborative may limit a physician or group of physicians from participating in the health care collaborative if the limitation is based on an established development plan approved by the board of directors.  Each applicant physician or group shall be provided with a copy of the development plan.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.151 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter D. Regulation of Health Care Collaboratives|Section 848.151. Rules

Sec. 848.151.  RULES.  The commissioner and the attorney general may adopt reasonable rules as necessary and proper to implement the requirements of this chapter.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.152 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter D. Regulation of Health Care Collaboratives|Section 848.152. Fees and Assessments

Sec. 848.152.  FEES AND ASSESSMENTS.  (a)  The commissioner shall, within the limits prescribed by this section, prescribe the fees to be charged and the assessments to be imposed under this section.(b)  Amounts collected under this section shall be deposited to the credit of the Texas Department of Insurance operating account.(c)  A health care collaborative shall pay to the department:(1)  an application fee in an amount determined by commissioner rule; and(2)  an annual assessment in an amount determined by commissioner rule.(d)  The commissioner shall set fees and assessments under this section in an amount sufficient to pay the reasonable expenses of the department and attorney general in administering this chapter, including the direct and indirect expenses incurred by the department and attorney general in examining and reviewing health care collaboratives.  Fees and assessments imposed under this section shall be allocated among health care collaboratives on a pro rata basis to the extent that the allocation is feasible.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.153 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter D. Regulation of Health Care Collaboratives|Section 848.153. Examinations

Sec. 848.153.  EXAMINATIONS.  (a)  The commissioner may examine the financial affairs and operations of any health care collaborative or applicant for a certificate of authority under this chapter.(b)  A health care collaborative shall make its books and records relating to its financial affairs and operations available for an examination by the commissioner or attorney general.(c)  On request of the commissioner or attorney general, a health care collaborative shall provide to the commissioner or attorney general, as applicable:(1)  a copy of any contract, agreement, or other arrangement between the health care collaborative and a physician or health care provider; and(2)  a general description of the fee arrangements between the health care collaborative and the physician or health care provider.(d)  Documentation provided to the commissioner or attorney general under this section is confidential and is not subject to disclosure under Chapter 552, Government Code.(e)  The commissioner or attorney general may disclose the results of an examination conducted under this section or documentation provided under this section to a governmental agency that contracts with a health care collaborative for the purpose of determining financial stability, readiness, or other contractual compliance needs.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.201 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter E. Enforcement|Section 848.201. Enforcement Actions

Sec. 848.201.  ENFORCEMENT ACTIONS.  (a)  After notice and opportunity for a hearing, the commissioner may:(1)  suspend or revoke a certificate of authority issued to a health care collaborative under this chapter;(2)  impose sanctions under Chapter 82;(3)  issue a cease and desist order under Chapter 83; or(4)  impose administrative penalties under Chapter 84.(b)  The commissioner may take an enforcement action listed in Subsection (a) against a health care collaborative if the commissioner finds that the health care collaborative:(1)  is operating in a manner that is:(A)  significantly contrary to its basic organizational documents; or(B)  contrary to the manner described in and reasonably inferred from other information submitted under Section 848.057;(2)  does not meet the requirements of Section 848.057;(3)  cannot fulfill its obligation to provide health care services as required under its contracts with governmental or private entities;(4)  does not meet the requirements of Chapter 1272, if applicable;(5)  has not implemented the complaint system required by Section 848.107 in a manner to resolve reasonably valid complaints;(6)  has advertised or merchandised its services in an untrue, misrepresentative, misleading, deceptive, or unfair manner or a person on behalf of the health care collaborative has advertised or merchandised the health care collaborative's services in an untrue, misrepresentative, misleading, deceptive, or untrue manner;(7)  has not complied substantially with this chapter or a rule adopted under this chapter;(8)  has not taken corrective action the commissioner considers necessary to correct a failure to comply with this chapter, any applicable provision of this code, or any applicable rule or order of the commissioner not later than the 30th day after the date of notice of the failure or within any longer period specified in the notice and determined by the commissioner to be reasonable; or(9)  has or is utilizing market power in an anticompetitive manner, in accordance with established antitrust principles of market power analysis.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.202 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter E. Enforcement|Section 848.202. Operations During Suspension or After Revocation of Certificate of Authority

Sec. 848.202.  OPERATIONS DURING SUSPENSION OR AFTER REVOCATION OF CERTIFICATE OF AUTHORITY.  (a)  During the period a certificate of authority of a health care collaborative is suspended, the health care collaborative may not:(1)  enter into a new contract with a governmental or private entity; or(2)  advertise or solicit in any way.(b)  After a certificate of authority of a health care collaborative is revoked, the health care collaborative:(1)  shall proceed, immediately following the effective date of the order of revocation, to conclude its affairs;(2)  may not conduct further business except as essential to the orderly conclusion of its affairs; and(3)  may not advertise or solicit in any way.(c)  Notwithstanding Subsection (b), the commissioner may, by written order, permit the further operation of the health care collaborative to the extent that the commissioner finds necessary to serve the best interest of governmental or private entities that have entered into contracts with the health care collaborative.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.203 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter E. Enforcement|Section 848.203. Injunctions

Sec. 848.203.  INJUNCTIONS.  If the commissioner believes that a health care collaborative or another person is violating or has violated this chapter or a rule adopted under this chapter, the attorney general at the request of the commissioner may bring an action in a Travis County district court to enjoin the violation and obtain other relief the court considers appropriate.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.204 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter E. Enforcement|Section 848.204. Notice

Sec. 848.204.  NOTICE.  The commissioner shall:(1)  report any action taken under this subchapter to:(A)  the relevant state licensing or certifying agency or board; and(B)  the United States Department of Health and Human Services National Practitioner Data Bank; and(2)  post notice of the action on the department's Internet website.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 848.205 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle C - Life, Health, and Accident Insurers and Related Entities|Chapter 848 - Health Care Collaboratives|Subchapter E. Enforcement|Section 848.205. Independent Authority of Attorney General

Sec. 848.205.  INDEPENDENT AUTHORITY OF ATTORNEY GENERAL.  (a)  The attorney general may:(1)  investigate a health care collaborative with respect to anticompetitive behavior that is contrary to the goals and requirements of this chapter; and(2)  request that the commissioner:(A)  impose a penalty or sanction;(B)  issue a cease and desist order; or(C)  suspend or revoke the health care collaborative's certificate of authority.(b)  This section does not limit any other authority or power of the attorney general.|Added by Acts 2011, 82nd Leg., 1st C.S., Ch. 7 (S.B. 7), Sec. 4.01, eff. September 28, 2011.|
TX Ins Code § 861.001 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle D - Casualty Companies|Chapter 861 - General Casualty Companies|Subchapter A. General Provisions|Section 861.001. Definitions

Sec. 861.001.  DEFINITIONS.  In this chapter:(1)  "General casualty company" means an accident or casualty insurance company organized or engaging in the business of insurance under this chapter.(2)  "Incorporators" means those persons who associate by written articles of incorporation to organize a general casualty company.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.|
TX Ins Code § 861.051 (2021)
2021 Texas Statutes|Insurance Code|Title 6 - Organization of Insurers and Related Entities|Subtitle D - Casualty Companies|Chapter 861 - General Casualty Companies|Subchapter B. Formation and Structure of General Casualty Company|Section 861.051. Formation of Company Authorized

Sec. 861.051.  FORMATION OF COMPANY AUTHORIZED.  Three or more persons, a majority of whom are residents of this state, may form a general casualty company in accordance with this chapter to write insurance described by Subchapter E.|Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.|