Tex. Codes » Human Resources Code · TITLE 2. HUMAN SERVICES AND PROTECTIVE SERVICES IN GENERAL · SUBTITLE C. ASSISTANCE PROGRAMS · CHAPTER 36. HEALTH CARE PROGRAM FRAUD PREVENTION
Texas Codes

Tex. Hum. Res. Code § 36.0011 (2026)

Culpable Mental State

✓ current as of May 2026
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Sec. 36.0011. CULPABLE MENTAL STATE. (a) For purposes of this chapter, a person acts "knowingly" with respect to information if the person:

(1) has knowledge of the information;

(2) acts with conscious indifference to the truth or falsity of the information; or

(3) acts in reckless disregard of the truth or falsity of the information.

(b) Proof of the person's specific intent to commit an unlawful act under Section 36.002 is not required in a civil or administrative proceeding to show that a person acted "knowingly" with respect to information under this chapter.

Added by Acts 2005, 79th Leg., Ch. 806 (S.B. 563), Sec. 2, eff. September 1, 2005.

Notes of Decisions
Cited in 8 cases (4 in the last 5 years), 2015–2025 · leading case: Texas Health & Human Servs. Comm'n & Off. of Inspector Gen. v. Antoine Dental Ctr., 487 S.W.3d 776 (Tex. App. 2016).
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Texas Health & Human Servs. Comm'n & Off. of Inspector Gen. v. Antoine Dental Ctr., 487 S.W.3d 776 (Tex. App. 2016). “Tex. Hum. Res. Code Ann. § 36.0011 (West 2005).”
Pfizer Inc. & Tris Pharma, Inc. v. the State of Texas & Tarik Ahmed (Tex. App. 2025). · cites it 5× “passim Tex. Hum. Res. Code § 36.002(4)(B) ......”
Texas Health & Human Servs. Comm'n & Off. of Inspector Gen. v. Antoine Dental Ctr. (Tex. Crim. App. 2015). · cites it 5× “Code § 32.032(b)(1)..............................”
Pfizer Inc. & Tris Pharma, Inc. v. the State of Texas & Tarik Ahmed (Tex. App. 2025). · cites it 2× “passim Tex. Hum. Res. Code § 36.0011 ...........”
Dr. Behzad Nazari, D.D.S. D/B/A Antoine Dental Ctr. Dr. Behzad Nazari Harlingen Fam. Dentistry, P.C. A/K/A Practical Bus. Solutions, Series LLC Juan D. Villarreal D.D.S., Series PLLC D/B/A Harlingen Fam. Dentistry Grp. v. State (Tex. App. 2015). · cites it 2× “Likewise, if defendants wish to argue that they were not even consciously indifferent to the truth of the statements they made, see Tex. Hum. Res. Code § 36.0011(a), that op- tion is available to them by way of simply defending against the State’s charges.”
in Re Shire PLC, Baxter Int'l Inc., Baxalta Inc., & ViroPharma Inc. (Tex. App. 2021). “TEX. HUM. RES. CODE ANN. § 36.0011. HCA’s petition alleged, in relevant part, Defendants intentionally and knowingly agreed to work with third parties to design and implement the free nurse services and reimbursement support services with the goal of defrauding Medicaid by…”
United States of Am. v. McKesson Corp. (S.D.N.Y. 2023). “1 (citing Tex. Hum. Res. Code §§ 36.0011(a), 36.002(12)).”
in Re Xerox Corp. & Xerox State Healthcare, LLC F/K/A ACS State Healthcare, LLC (Tex. App. 2015). “” As discussed below, there is no requirement that the State prove damage or harm to prevail in a specific intent to commit an unlawful act” prior to the passage of the bill.”
— Tex. Hum. Res. Code § 36.0011(a) — 5 cases
Pfizer Inc. & Tris Pharma, Inc. v. the State of Texas & Tarik Ahmed (Tex. App. 2025). “passim Tex. Hum. Res. Code § 36.002(4)(B) ......”
Texas Health & Human Servs. Comm'n & Off. of Inspector Gen. v. Antoine Dental Ctr. (Tex. Crim. App. 2015). “Code § 32.032(b)(1)..............................”
United States of Am. v. McKesson Corp. (S.D.N.Y. 2023). “1 (citing Tex. Hum. Res. Code §§ 36.0011(a), 36.002(12)).”
Pfizer Inc. & Tris Pharma, Inc. v. the State of Texas & Tarik Ahmed (Tex. App. 2025). “passim Tex. Hum. Res. Code § 36.0011 ...........”
Dr. Behzad Nazari, D.D.S. D/B/A Antoine Dental Ctr. Dr. Behzad Nazari Harlingen Fam. Dentistry, P.C. A/K/A Practical Bus. Solutions, Series LLC Juan D. Villarreal D.D.S., Series PLLC D/B/A Harlingen Fam. Dentistry Grp. v. State (Tex. App. 2015). “Likewise, if defendants wish to argue that they were not even consciously indifferent to the truth of the statements they made, see Tex. Hum. Res. Code § 36.0011(a), that op- tion is available to them by way of simply defending against the State’s charges.”
— Tex. Hum. Res. Code § 36.0011(b) — 2 cases
Texas Health & Human Servs. Comm'n & Off. of Inspector Gen. v. Antoine Dental Ctr. (Tex. Crim. App. 2015). “Code § 32.032(b)(1)..............................”
Dr. Behzad Nazari, D.D.S. D/B/A Antoine Dental Ctr. Dr. Behzad Nazari Harlingen Fam. Dentistry, P.C. A/K/A Practical Bus. Solutions, Series LLC Juan D. Villarreal D.D.S., Series PLLC D/B/A Harlingen Fam. Dentistry Grp. v. State (Tex. App. 2015). “Likewise, if defendants wish to argue that they were not even consciously indifferent to the truth of the statements they made, see Tex. Hum. Res. Code § 36.0011(a), that op- tion is available to them by way of simply defending against the State’s charges.”
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