Sec. 1301.152.  CONTINUING CARE IN GENERAL.  (a)  An insurer shall establish reasonable procedures for ensuring a transition of insureds to physicians or health care providers and for continuity of treatment.
(b)  An insurer shall:
(1)  provide, subject to Section 1301.160, reasonable advance notice to an insured of the impending termination of the participation in the plan of a physician or health care provider who is currently treating the insured;  and
(2)  in the event of termination of a preferred provider's participation in the plan, make available to the insured a current listing of preferred providers.
(c)  A contract between an insurer and a physician or health care provider must include a procedure for resolving disputes regarding the necessity for continued treatment by the physician or provider.
Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.