Sec. 1272.055.  COLLECTION OF PAYMENTS.  A delegation agreement required by Section 1272.052 must prohibit the delegated entity and the physicians and providers with whom the entity has contracted from billing or attempting to collect from an enrollee under any circumstance, including the insolvency of the health maintenance organization or entity, payments for covered services other than authorized copayments and deductibles.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.