Texas Insurance Code 1661.0055 – Use of Technology: Waiver
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(a) Notwithstanding § 1661.004, physicians or health care providers with fewer than five full-time-equivalent employees are not required to use information technology as required under this chapter.
(b) A health benefit plan issuer may not require, through contract or otherwise, physicians or health care providers with fewer than five full-time-equivalent employees to use information technology as required under this chapter.
Terms Used In Texas Insurance Code 1661.0055
- Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
- Contract: A legal written agreement that becomes binding when signed.
(c) A contract between the issuer of a health benefit plan and a physician or health care provider must provide for a waiver of any requirement for the use of information technology as established or required under this chapter.
(d) The commissioner shall establish the circumstances under which the requirements of this chapter do not apply to a physician or health care provider including:
(1) undue hardship, including fiscal or operational hardship; or
(2) any other special circumstance that would justify an exclusion.
(e) The commissioner shall establish circumstances under which a waiver under Subsection (c) is required, including:
(1) undue hardship, including fiscal or operational hardship; or
(2) any other special circumstance that would justify a waiver.
(f) Any physician or health care provider that is denied a waiver by a health benefit plan issuer may appeal the denial to the commissioner. The commissioner shall determine whether a waiver must be granted.
(g) A health benefit plan issuer may not refuse to contract or renew a contract with a physician or health care provider based in whole or in part on the physician or provider requesting or receiving a waiver or appealing a waiver determination. A health benefit plan issuer may not refuse to contract or renew a contract with a physician or health care provider based in whole or in part on the physician or provider meeting the exemptions contained in Subsections (a) and (b).
(h) A waiver approved under this section expires September 1, 2013.