tx-May82026-38: 28 TAC §§11.501 - 11.504, 11.506 (Amendment) — Health Maintenance Organizations
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STATUTORY AUTHORITY. TDI proposes amendments to §§11.501 - 11.504 and 11.506 under Insurance Code §§843.151, 1271.004, 1501.010, 1702.006, and 36.001. Insurance Code §843.151 authorizes the commissioner to adopt reasonable rules to implement various parts of the Insurance Code related to HMOs and ensure that enrollees have adequate access to health care services. Insurance Code §1271.004 authorizes the commissioner to adopt rules necessary to implement the section and meet the minimum requirements of federal law, including regulations. Insurance Code §1501.010 directs the commissioner to adopt rules necessary to implement Insurance Code Chapter 1501 and meet the minimum requirements of federal law, including regulations. Insurance Code §1702.006 authorizes the commissioner to adopt reasonable rules necessary to implement Insurance Code Chapter 1702. 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. The amendments to §§11.501 - 11.504 and 11.506 implement Insurance Code Chapters 843 and 1271. The amendments...
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