Tex. Labor Code Section 415.005
Overcharging by Health Care Providers Prohibited; Administrative Violation

(a)

A health care provider commits a violation if the person charges an insurance carrier an amount greater than that normally charged for similar treatment to a payor outside the workers’ compensation system, except for mandated or negotiated charges.

(b)

A violation under this section is an administrative violation. A health care provider may be liable for an administrative penalty regardless of whether a criminal action is initiated under Section 413.043 (Overcharging Prohibited; Offense).
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by:
Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 3.269, eff. September 1, 2005.

Source: Section 415.005 — Overcharging by Health Care Providers Prohibited; Administrative Violation, https://statutes.­capitol.­texas.­gov/Docs/LA/htm/LA.­415.­htm#415.­005 (accessed Jun. 5, 2024).

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Accessed:
Jun. 5, 2024

§ 415.005’s source at texas​.gov