Texas Codes

Tex. Ins. Code § 843.071 (2026)

Certificate Of Authority Required; Use Of "health Maintenance Organization" Or "hmo"

✓ current as of May 2026

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Sec. 843.071. CERTIFICATE OF AUTHORITY REQUIRED; USE OF "HEALTH MAINTENANCE ORGANIZATION" OR "HMO". (a) A person may not organize or operate a health maintenance organization in this state, or sell or offer to sell or solicit offers to purchase or receive advance or periodic consideration in conjunction with a health maintenance organization, without obtaining a certificate of authority under this chapter.

(b) A person may not use "health maintenance organization" or "HMO" in the course of operation unless the person:

(1) complies with this chapter and:

(A) Section 1367.053;

(B) Subchapter A, Chapter 1452;

(D) Chapters 222, 251, and 258, as applicable to a health maintenance organization; and

(E) Chapters 1271 and 1272; and

(2) holds a certificate of authority under this chapter.

Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.

Amended by:

Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 2E.034, eff. April 1, 2009.

Notes of Decisions

Cited in 1 case (1 in the last 5 years), 2021–2021 · leading case: Texas Med. Resources, LLP Texas Physician Resources, LLP & Pediatric Emergency Med. Grp., LLP v. Molina Healthcare of Texas, Inc. (Tex. App. 2021).

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Texas Med. Resources, LLP Texas Physician Resources, LLP & Pediatric Emergency Med. Grp., LLP v. Molina Healthcare of Texas, Inc. (Tex. App. 2021). “See TEX. INS. CODE § 843.071; 45 C.F.R. § 155.”

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