Tex. Health & Safety Code Section 62.1551
Inclusion of Certain Health Care Providers in Provider Networks

(a)

Notwithstanding any other law, including Sections 843.312 (Physician Assistants and Advanced Practice Nurses) and 1301.052 (Designation of Advanced Practice Nurse or Physician Assistant as Preferred Provider), Insurance Code, the executive commissioner shall adopt rules to require a managed care organization or other entity to ensure that advanced practice registered nurses and physician assistants are available as primary care providers in the organization’s or entity’s provider network. The rules must require advanced practice registered nurses and physician assistants to be treated in the same manner as primary care physicians with regard to:

(1)

selection and assignment as primary care providers;

(2)

inclusion as primary care providers in the provider network; and

(3)

inclusion as primary care providers in any provider network directory maintained by the organization or entity.

(b)

For purposes of Subsection (a), an advanced practice registered nurse may be included as a primary care provider in a managed care organization’s or entity’s provider network regardless of whether the physician supervising the advanced practice registered nurse is in the provider network.

(c)

This section may not be construed as authorizing a managed care organization or other entity to supervise or control the practice of medicine as prohibited by Subtitle B, Title 3, Occupations Code.
Added by Acts 2013, 83rd Leg., R.S., Ch. 418 (S.B. 406), Sec. 22, eff. November 1, 2013.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 1 (S.B. 219), Sec. 3.0206, eff. April 2, 2015.
Acts 2017, 85th Leg., R.S., Ch. 302 (S.B. 654), Sec. 2, eff. September 1, 2017.

Source: Section 62.1551 — Inclusion of Certain Health Care Providers in Provider Networks, https://statutes.­capitol.­texas.­gov/Docs/HS/htm/HS.­62.­htm#62.­1551 (accessed Jun. 5, 2024).

62.001
Objective of the State Child Health Plan 62.002
Definitions 62.003
Not an Entitlement 62.004
Federal Law and Regulations 62.051
Duties of Executive Commissioner and Commission in General 62.052
Authority of Commission Relating to Health Plan Provider Contracts 62.053
Authority of Commission Relating to Eligibility and Medicaid Coordination 62.054
Duties of Texas Department of Insurance 62.055
Contracts for Implementation of Child Health Plan 62.056
Community Outreach Campaign 62.058
Fraud Prevention 62.060
Health Information Technology Standards 62.101
Eligibility 62.102
Continuous Coverage 62.103
Application Form and Procedures 62.104
Eligibility Screening and Enrollment 62.105
Coverage for Qualified Aliens 62.106
Suspension and Automatic Reinstatement of Eligibility for Children in Juvenile Facilities 62.107
Notice of Certain Placements in Juvenile Facilities 62.151
Child Health Plan Coverage 62.152
Application of Insurance Law 62.153
Cost Sharing 62.154
Waiting Period 62.155
Health Plan Providers 62.156
Health Care Providers 62.157
Telemedicine Medical Services, Teledentistry Dental Services, and Telehealth Services for Children with Special Health Care Needs 62.158
State Taxes 62.159
Disease Management Services 62.0531
Authority of Commission Relating to Third Party Administrator 62.0582
Third-party Billing Vendors 62.1011
Verification of Income 62.1015
Eligibility of Certain Children 62.1511
Coverage for Maternal Depression Screening 62.1551
Inclusion of Certain Health Care Providers in Provider Networks 62.1561
Prohibition of Certain Health Care Providers 62.1571
Telemedicine Medical Services, Teledentistry Dental Services, and Telehealth Services
Green check means up to date. Up to date

Accessed:
Jun. 5, 2024

§ 62.1551’s source at texas​.gov