tx-May82026-31: 28 TAC §3.9208, §3.9210 (Amendment) — Life, Accident, and Health Insurance and Annuities
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§3.9210 STATUTORY AUTHORITY. TDI proposes amendments to §3.9208 and §3.9210 under Insurance Code §36.001. Insurance Code §36.001 provides that the commissioner may adopt any rules necessary and appropriate to implement the powers and duties of TDI under the Insurance Code and other laws of this state. CROSS-REFERENCE TO STATUTE. Sections 3.9208 and 3.9210 implement HB 1620 and HB 4611. §3.9208. Provider Network: Accessibility and Availability. An issuer is subject to the same network accessibility and availability requirements as outlined in §11.1607 of this title (relating to Accessibility and Availability Requirements). Issuers must comply with this section; any requirements under a Medicaid contract, subject to Government Code[,] Chapter 540, concerning Medicaid Managed Care Program [533]; and any other applicable law. §3.9210. Complaints System. (a) Complaints System. Issuers must comply with this section; any requirements under a Medicaid contract, subject to Government Code[,] Chapter 540, concerning Medicaid Managed Care Program [533]; and any other applicable law. The complaint system must provide reasonable procedures for the resolution of oral and written complaints...
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