(a) A program operator shall contract, directly or indirectly, with a provider offering discounted health care services or products under the discount health care program. The written contract must contain all of the following provisions:
- (1) a description of the discounts to be provided to a member;
- (2) a provision prohibiting the provider from charging a member more than the discounted rate agreed to in the written agreement with the provider; and
- (3) a provision requiring the provider to promptly notify the program operator if the provider no longer participates in the program or loses the authority to provide services or products.
- (b) The program operator may not charge or receive from a provider any fee or other compensation for entering into the agreement.
(c) If the program operator contracts with a network of providers, the program operator shall obtain written assurance from the network that:
- (1) the network has a written agreement with each network provider that includes a discounted rate that is applicable to a program operator's discount health care program and contains all of the terms described in Subsection (a); and
- (2) the network is authorized to obligate the network providers to provide services to members of the discount health care program.
(d) The program operator shall require the network to:
- (1) maintain and provide the program operator on a monthly basis an up-to-date list of providers in the network; and
- (2) promptly remove a provider from its network if the provider no longer participates or loses the authority to provide services or products.
- (e) The program operator shall maintain a copy of each written agreement the program operator has with a provider or a network for at least two years following termination of the agreement.
Added by Acts 2009, 81st Leg., R.S., Ch. 1331 (H.B. 4341), Sec. 1, eff. September 1, 2009.