Tex. Occ. Code Section 162.251
Definitions


In this subchapter:

(1)

“Direct fee” means a fee charged by a physician to a patient or a patient’s designee for primary medical care services provided by, or to be provided by, the physician to the patient. The term includes a fee in any form, including a:

(A)

monthly retainer;

(B)

membership fee;

(C)

subscription fee;

(D)

fee paid under a medical service agreement; or

(E)

fee for a service, visit, or episode of care.

(2)

“Direct primary care” means a primary medical care service provided by a physician to a patient in return for payment in accordance with a direct fee. The term includes telemedicine medical services and telehealth services, as those terms are defined by Section 111.001 (Definitions), provided using a technology platform.

(3)

“Medical service agreement” means a signed written agreement under which a physician agrees to provide direct primary care services for a patient in exchange for a direct fee for a period of time that is entered into by the physician and:

(A)

the patient;

(B)

the patient’s legal representative, guardian, or employer on behalf of the patient; or

(C)

the patient’s legal representative’s or guardian’s employer on behalf of the patient.

(4)

“Physician” includes a professional association or professional limited liability company owned entirely by an individual licensed under this subtitle.

(5)

“Primary medical care service” means a routine or general health care service of the type provided at the time a patient seeks preventive care or first seeks health care services for a specific health concern, is a patient’s main source for regular health care services, and includes:

(A)

promoting and maintaining mental and physical health and wellness;

(B)

preventing disease;

(C)

screening, diagnosing, and treating acute or chronic conditions caused by disease, injury, or illness;

(D)

providing patient counseling and education; and

(E)

providing a broad spectrum of preventive and curative health care over a period of time.
Added by Acts 2015, 84th Leg., R.S., Ch. 165 (H.B. 1945), Sec. 1, eff. May 28, 2015.
Amended by:
Acts 2019, 86th Leg., R.S., Ch. 964 (S.B. 670), Sec. 4, eff. September 1, 2019.

Source: Section 162.251 — Definitions, https://statutes.­capitol.­texas.­gov/Docs/OC/htm/OC.­162.­htm#162.­251 (accessed Jun. 5, 2024).

162.001
Certification by Board
162.002
Limitation on Physician Fees
162.003
Refusal to Certify
162.004
Procedures for and Disposition of Complaints Against Certain Health Organizations
162.005
Anti-retaliation Policy
162.006
Biennial Report Required for Certain Health Organizations
162.0021
Interference with Physician’s Professional Judgment Prohibited
162.0022
Health Organization Policies
162.0023
Disciplinary Action Restriction
162.0024
Contractual Waiver Prohibited
162.051
Authority to Form Certain Jointly Owned Entities
162.053
Jointly Owned Entities with Physician Assistants
162.101
Definition
162.102
Rules
162.103
Applicability
162.104
Registration Required
162.105
Compliance with Anesthesia Rules
162.106
Inspections
162.107
Requests for Inspection and Advisory Opinion
162.151
Definitions
162.152
Associations
162.153
Standardized Credentials Verification Program
162.154
Furnishing of Data to Health Care Entity
162.155
Review of Data by Physician
162.156
Data Duplication Prohibited
162.157
Immunity
162.158
Rules
162.159
Confidentiality
162.160
Use of Independent Contractor
162.161
Fees
162.162
Gifts, Grants, and Donations
162.201
Employment of Physician Permitted
162.202
Committee Established by School
162.203
Certification of School by Board
162.204
Biennial Report
162.205
Suspension or Revocation of Certification
162.206
Limitation on School’s Authority
162.207
Application of Subchapter
162.251
Definitions
162.252
Applicability of Subchapter
162.253
Direct Primary Care Not Insurance
162.254
Billing Insurer or Health Maintenance Organization Prohibited
162.255
Interference Prohibited
162.256
Required Disclosure

Accessed:
Jun. 5, 2024

§ 162.251’s source at texas​.gov