Texas Codes
Tex. Ins. Code § 1467.085 (2026)
Effect Of Arbitration And Applicability Of Other Law
✓ current as of May 2026
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Sec. 1467.085. EFFECT OF ARBITRATION AND APPLICABILITY OF OTHER LAW. (a) Notwithstanding Section 1467.004, an out-of-network provider or health benefit plan issuer or administrator may not file suit for an out-of-network claim subject to this chapter until the conclusion of the arbitration on the issue of the amount to be paid in the out-of-network claim dispute.
(b) An arbitration conducted under this subchapter is not subject to Title 7, Civil Practice and Remedies Code.
Added by Acts 2019, 86th Leg., R.S., Ch. 1342 (S.B. 1264), Sec. 2.15, eff. September 1, 2019.
Notes of Decisions
Cited in 3
cases (3 in the last 5 years), 2023–2024 · leading case: Unitedhealthcare Ins. Co. Unitedhealthcare of Texas, Inc. v. Acs Primary Care Physicians Sw., P.A. Hill Cnty. Emergency Med. Assocs., P.A. Longhorn Emergency Med. Assocs., P.A. Cent. Texas Emergency Assocs., P.A. Emergency Assocs. of Cent. Texas, P.A. Emergency Servs. of Texas, P.A. (Tex. 2023).
Unitedhealthcare Ins. Co. Unitedhealthcare of Texas, Inc. v. Acs Primary Care Physicians Sw., P.A. Hill Cnty. Emergency Med. Assocs., P.A. Longhorn Emergency Med. Assocs., P.A. Cent. Texas Emergency Assocs., P.A. Emergency Assocs. of Cent. Texas, P.A. Emergency Servs. of Texas, P.A. (Tex. 2023). “78 TEX. INS. CODE § 1467.085(a) (emphases added).”
Molina Healthcare of Texas, Inc. v. ACS Primary Care Physicians Sw., PA & Emergency Servs. of Texas, PA (Tex. App. 2024). “3d at 428–29; TEX. INS. CODE § 1467.085(a). This arbitration process, however, only applies to health care services rendered on or after January 1, 2020.”
Molina Healthcare of Texas, Inc. v. ACS Primary Care Physicians Sw., PA & Emergency Servs. of Texas, PA (Tex. App. 2024). “3d at 428–29; TEX. INS. CODE § 1467.085(a). This arbitration process, however, only applies to health care services rendered on or after January 1, 2020.”
— Tex. Ins. Code § 1467.085(a) — 3 cases
Unitedhealthcare Ins. Co. Unitedhealthcare of Texas, Inc. v. Acs Primary Care Physicians Sw., P.A. Hill Cnty. Emergency Med. Assocs., P.A. Longhorn Emergency Med. Assocs., P.A. Cent. Texas Emergency Assocs., P.A. Emergency Assocs. of Cent. Texas, P.A. Emergency Servs. of Texas, P.A. (Tex. 2023). “78 TEX. INS. CODE § 1467.085(a) (emphases added).”
Molina Healthcare of Texas, Inc. v. ACS Primary Care Physicians Sw., PA & Emergency Servs. of Texas, PA (Tex. App. 2024). “3d at 428–29; TEX. INS. CODE § 1467.085(a). This arbitration process, however, only applies to health care services rendered on or after January 1, 2020.”
Molina Healthcare of Texas, Inc. v. ACS Primary Care Physicians Sw., PA & Emergency Servs. of Texas, PA (Tex. App. 2024). “3d at 428–29; TEX. INS. CODE § 1467.085(a). This arbitration process, however, only applies to health care services rendered on or after January 1, 2020.”
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